Provider Demographics
NPI:1629152160
Name:SOLLENBERGER, BRANDI LYNN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:LYNN
Last Name:SOLLENBERGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:BRANDI
Other - Middle Name:LYNN
Other - Last Name:SWEZEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1144
Mailing Address - Country:US
Mailing Address - Phone:717-413-9016
Mailing Address - Fax:717-459-7981
Practice Address - Street 1:50 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:PA
Practice Address - Zip Code:17538-1144
Practice Address - Country:US
Practice Address - Phone:717-413-9016
Practice Address - Fax:717-459-7981
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021391225100000X
PART0039232255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer