Individual
BREANNE B BOETTIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3945 E PARADISE FALLS DR, #109, TUCSON, AZ 85712-6683
(520) 321-0204
(520) 321-0495
Mailing address
PO BOX 43085, TUCSON, AZ 85733-3085
(520) 321-0204
(866) 281-9515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423381
—
AZ
Enumeration date
10/01/2007
Last updated
11/19/2009
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