Individual
BREANNA NICOLE BASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3160 N ARIZONA AVE STE 106, CHANDLER, AZ 85225-7122
(480) 699-4845
Mailing address
3309 N 70TH ST UNIT 218, SCOTTSDALE, AZ 85251-6363
(803) 727-4987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31797
AZ
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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