Doctor Name: | KENT HAROLD BRIZENDINE |
NPI Number: | 1386786192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PT22612 |
Business Practice Address: | 5360 Jackson Dr Suite 116 La Mesa, CA - 919426002 |
Business Phone Number: | 6194691691 |
Business Fax Number: | 6194691079 |
Mailing Address: | 3200 Fourth Ave., Suite 201 SAN DIEGO |
State: | CA |
Postal Code: | 921035716 |
Phone Number: | 6192974404 |
Fax Number: | 6192970804 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT22612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |