Most Relevant Information
Provider Data
| NPI Number: | 1003504556 |
| Provider Name: | BREANNA JO KLENZ CTRS |
| Entity Type: | Individual |
| Taxonomy Code: | 225800000X |
| Specialty: | Recreation Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2023 |
| Last Updated: | 04/24/2023 |
Provider Practice Location
135 E 38TH ST
ERIE
PA
165041559
Practice Location Phone/Fax
| Phone: | 8148602497 |
| Fax: |
Provider Mailing Location
135 E 38TH ST
ERIE
PA
165041559
Provider Mailing Phone/Fax
| Phone: | 8148602497 |
| Fax: |