Individual
MARY RUTH BRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
4850 E BASELINE RD STE 114, MESA, AZ 85206
(480) 396-2781
(480) 854-3094
Mailing address
622 N ROCHESTER, MESA, AZ 85205-6454
(480) 332-7120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1992
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922
PT LICENSE
AZ
Enumeration date
05/09/2018
Last updated
06/06/2018
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