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Individual

MRS. JESSICA RENEE BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T

Contact information

Practice address
140 S GILBERT RD, GILBERT, AZ 85296-1016
(480) 558-5131
Mailing address
6223 S LOS FELIZ DR, TEMPE, AZ 85283-3219
(480) 784-7946

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5579
AZ

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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