| Doctor Name: | BRIAN VENGLAR |
| NPI Number: | 1013207711 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 1211370 |
| Business Practice Address: | 50505 Schoenherr Rd Suite 210p Shelby Township, MI - 483153140 |
| Business Phone Number: | 5868846689 |
| Business Fax Number: | 5868846678 |
| Mailing Address: | 33900 Harper Ave, Suite 104 CLINTON TOWNSHIP |
| State: | MI |
| Postal Code: | 480354258 |
| Phone Number: | 5864169100 |
| Fax Number: | 5864169103 |
| NPI Enumeration Date: | 04/14/2011 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1211370 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |