NPI 1497386650

Heather Brandenburg, PTDPT

Practitioner Physical Therapist Georgetown, DE

Practice location

Address: 2 Lee Ave Unit 103, Georgetown, DE 19947-2149
Phone: (302) 500-6363
Mailing address: 7970 Raven Rd, Lake Tomahawk, WI 54539-9588

Registered specialties (3)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence J1-0004186 (DE)

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 14827-24 (WI)

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PTL.0016499 (CO)

Registry record

NPI: 1497386650
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2020
Record last updated: 23 Jul 2020

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.