Individual
BROOKS THOMAS TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E. SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
(623) 544-5531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-013058
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13058
LICENSE
AZ
Enumeration date
06/30/2017
Last updated
11/01/2024
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