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BREANNA DUSO

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1669035002

Individual Registrant:
 BREANNA  DUSO 
Gender: F
Sole Proprietor

Location and contact information for practice:
37451 MAIN ST  BURNEY, CA 96013-4372 US
Tel: 530-335-3206  Fax: --

Contact information for business:
655 S WILLOW ST STE 128  MANCHESTER, NH 03103-5705 US
Tel: 800-995-2673  Fax: --

Registration Information:
NPI: 1669035002
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA295488

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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