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Brian Opdenhoff, PT

Physical Therapist in Victorville, CA. Individual provider (NPI-1).

NPI number1154771533
StatusActive
Last updated in NPPESSep 7, 2016

Details

NPI
1154771533
Entity type
Individual (NPI-1)
Name
Brian Opdenhoff
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2016
Last updated
Sep 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist291477CAYes

Practice location

12402 Industrial Blvd
Suite B2
Victorville, CA 92395-5871

Phone 760-955-6061 · Fax 760-955-6062

Mailing address

24630 Washington Ave
Suite 200
Murrieta, CA 92562-6131

Phone 951-696-9353 · Fax 951-973-7216

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