Individual
MARIDA BRANDEWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTP-OTA-LIC-4732
MT
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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