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1073163788
BREANNA LONGENETTE
ARLINGTON, TX
NPI
1073163788
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Former Name
BREANNA BANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1321249)
Enumeration Date
2019-09-14
Last Update Date
2019-09-14
Business Address
BREANNA LONGENETTE PT, DPT
5833 W I 20
ARLINGTON, TX 76017-1057
Phone number: 817-516-1115
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Mailing Address
BREANNA LONGENETTE PT, DPT
9629 OLIVIA DR
FORT WORTH, TX 76108-3877
Phone number:
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