Individual
BRANDON ANTHONY HANCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 S 7TH ST, WILLIAMS, AZ 86046-2324
(928) 635-4441
Mailing address
3465 E BETSY LN, GILBERT, AZ 85296-7333
(310) 435-1601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
13749A
AZ
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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