Individual
BRANDON DARRELL PENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9376 E BAHIA DR, SUITE 103, SCOTTSDALE, AZ 85260-1532
(480) 556-8406
(480) 607-5840
Mailing address
9376 E BAHIA DR, SUITE 103, SCOTTSDALE, AZ 85260-1532
(480) 556-8406
(480) 607-5840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7735
AZ
Other
Enumeration date
09/13/2007
Last updated
10/09/2007
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