Individual
KELLY BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1238 E CHANDLER BLVD, SUITE 103, PHOENIX, AZ 85048-4601
(480) 704-5954
(480) 704-5807
Mailing address
2322 W GAIL DR, CHANDLER, AZ 85224-4014
(480) 664-6843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1138
AZ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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