Individual
MRS. MAUREEN BRENNAN RADOMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
8311 E VIA DE VENTURA, APT #1130, SCOTTSDALE, AZ 85258-6600
(480) 326-8779
Mailing address
8311 E VIA DE VENTURA, APT #1130, SCOTTSDALE, AZ 85258-6600
(480) 326-8779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5377
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
691908
AHHCCS
AZ
01
—
AZ0463140
BCBS OF AZ
AZ
Enumeration date
05/08/2007
Last updated
07/08/2007
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