Individual
BRENTON HAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21321 E OCOTILLO RD STE I122, QUEEN CREEK, AZ 85142-7591
(480) 987-1870
Mailing address
21321 E OCOTILLO RD STE I122, QUEEN CREEK, AZ 85142-7591
(480) 987-1870
(480) 987-9289
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LPT-31397
AZ
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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