Individual
JOAN THERESA BRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
4494 W PEORIA AVE, SUITE 115 B, GLENDALE, AZ 85302-2023
(602) 910-1996
(623) 934-3887
Mailing address
PO BOX 6622, GLENDALE, AZ 85312-6622
(602) 910-1996
(623) 934-3887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0781
AZ
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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