Organization
ESPERANZA THERAPIES LLC
Active
Organization
ESPERANZA THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA I BRUNDAGE (OWNER)
(623) 633-0809
Entity
Organization
Contact information
Practice address
11412 W BERMUDA DR, AVONDALE, AZ 85392-4227
(575) 915-4283
Mailing address
PO BOX 1066, LITCHFIELD PARK, AZ 85340-1066
(623) 633-0809
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175818
—
AZ
Enumeration date
07/18/2024
Last updated
04/29/2025
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