Individual
STACY HALL BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4713 E MICHIGAN AVE, PHOENIX, AZ 85032-9517
(602) 369-0325
Mailing address
4713 E MICHIGAN AVE, PHOENIX, AZ 85032-9517
(602) 369-0325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AZ00058
AZ
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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