Individual
JAMIE ALLYSSE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
(602) 393-0520
Mailing address
13481 W MCDOWELL RD STE 300, GOODYEAR, AZ 85395-2720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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