Individual
ALISSA MICHELE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2835 E BROWN RD, STE 101, MESA, AZ 85213-5470
(480) 807-6644
Mailing address
2835 E BROWN RD, STE 101, MESA, AZ 85213-5470
(480) 807-6644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0145A
AZ
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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