NPI 1598742694

Henderson B Brenner, PT

Practitioner Military Health Care Provider Fort Eustis, VA

Practice location

Address: 576 Jefferson Ave, Fort Eustis, VA 23604-1602
Phone: (757) 314-7500
Mailing address: 950 J Clyde Morris Blvd STE 102, Newport News, VA 23601-1004

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 1109718 (TX)

Other Military Health Care Provider providers in Virginia →

Registry record

NPI: 1598742694
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2005
Record last updated: 8 Jul 2007

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.