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Individual

BRENDA ALDRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
16222 N 59TH AVE, SUITE A-100, GLENDALE, AZ 85306-1701
(623) 334-4000
(623) 334-4400
Mailing address
16222 N 59TH AVE, SUITE A-100, GLENDALE, AZ 85306-1701
(623) 334-4000
(623) 334-4400

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0138A
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0138A
PTA LICENSE NUMBER
AZ
Enumeration date
04/15/2009
Last updated
04/15/2009
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