Most Relevant Information
Provider Data
| NPI Number: | 1003059320 |
| Provider Name: | BRENT A. HART |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2009 |
| Last Updated: | 04/16/2009 |
Provider Practice Location
2640 INDUSTRY WAY
LYNWOOD
CA
902624284
Practice Location Phone/Fax
| Phone: | 3106395983 |
| Fax: |
Provider Mailing Location
2640 INDUSTRY WAY
LYNWOOD
CA
902624284
Provider Mailing Phone/Fax
| Phone: | 3106395983 |
| Fax: |