MR. Brian William Jansen, ATC, LAT
NPI #1922074293 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1922074293
- Entity Type
- Individual
- Name
- MR. Brian William Jansen, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- ATC, LAT
- Enumeration Date
- Feb 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 640 DR MARY MCLEOD BETHUNE BLVD
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-3012
- Phone
- (386) 481-2261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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