Individual provider · Type 1 NPI

Jerred Anthony Brosnan

Rehabilitation Practitioner · Petaluma, CA

NPI number 1841178746 Active

Practice location

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Mailing address

7609 Camino Colegio
Rohnert Park, CA 94928-3579

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1841178746

Jerred Anthony Brosnan's National Provider Identifier is 1841178746, issued on Aug 26, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Petaluma, CA. The record was last updated on Aug 26, 2025.