NPI 1073386579

Brian Thomas Simrak

Practitioner Physical Therapy Assistant Kenosha, WI

Practice location

Address: 7419 33rd Ave, Kenosha, WI 53142-4431
Phone: (714) 604-5238

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4127-19 (WI)

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Registry record

NPI: 1073386579
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2023
Record last updated: 6 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.