Individual
JACOB BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9219 E HIDDEN SPUR TRL STE 100, SCOTTSDALE, AZ 85255-6708
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31782
AZ
Other
Enumeration date
06/04/2021
Last updated
06/10/2021
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