Individual
BREANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 N LITCHFIELD RD STE 124, SURPRISE, AZ 85379-4260
(623) 248-3322
Mailing address
13601 N LITCHFIELD RD STE 124, SURPRISE, AZ 85379-4260
(623) 248-3324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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