Brenner, Molly

Brenner, Molly is an sole proprietor health care provider with primary practice located at 1441 Superior Ave B, Newport Beach CA 92663-2712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Brenner, Molly can be contacted via phone (714) 280-0267.

Contact Information

Primary practice address
1441 Superior Ave B Newport Beach CA 92663-2712
Phone: (714) 280-0267
Fax: (714) 280-9511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT1266 California

Profile Details

NPI number 1073701124
LBN Legal business name Brenner, Molly
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073701124 NPPES
California Other PT1266 STATE LICENSE

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