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Individual

BRENNA CANTERBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1840 N JASPER DR STE 3, FLAGSTAFF, AZ 86001-1634
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 241-8706

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008976A
IN
225100000X
Physical Therapist
9484
AZ
225100000X
Physical Therapist
Primary
LPT-009484
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
643343
AZ
Enumeration date
09/13/2011
Last updated
08/12/2025
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