Individual
MS. GLORIA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
E. FIR ST., TUBA CITY UNIFIED SCHOOL DISTRICT, TUBA CITY, AZ 86045
(928) 283-4211
Mailing address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1655
AZ
Other
Enumeration date
12/22/2009
Last updated
12/29/2009
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