Individual
BREANA R PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T
Contact information
Practice address
8685 W UNION HILLS DR, PEORIA, AZ 85382-7006
(623) 486-2331
(623) 486-3136
Mailing address
8685 W UNION HILLS DR, PEORIA, AZ 85382-7006
(623) 486-2331
(623) 486-3136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10960
AZ
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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