Individual
VICTORIA ISABEL BRUNDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11412 W BERMUDA DR, AVONDALE, AZ 85392-4227
(575) 915-4283
Mailing address
11412 W BERMUDA DR, AVONDALE, AZ 85392-4227
(575) 915-4283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-006952
AZ
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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