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Individual

BRIAN A SCHWALLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
28230 N TATUM BLVD STE C4, CAVE CREEK, AZ 85331-6342
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7335
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680523056
TAX ID
AZ
01
7335
PT LICENSE
AZ
Enumeration date
09/16/2006
Last updated
07/26/2022
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