Organization
BRAIN PERFORMANCE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER STAPLEY COTA/L (COTA/L)
(480) 335-3088
Entity
Organization
Contact information
Practice address
6840 E BROWN RD STE 104, MESA, AZ 85207-3759
(480) 719-8080
Mailing address
6840 E BROWN RD STE 104, MESA, AZ 85207-3759
(480) 719-8080
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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