Individual
NADINE PAIGE BROEKEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 20, MESA, AZ 85210-6879
(612) 751-9741
Mailing address
2041 N 29TH PL, MESA, AZ 85213-3104
(612) 751-9741
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AZ
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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