Individual
BRANDON ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
1301 E DEBBIE DR, QUEEN CREEK, AZ 85240-4003
(269) 352-4365
Mailing address
1301 E DEBBIE DR, QUEEN CREEK, AZ 85240-4003
(269) 352-4365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3949
AZ
Other
Enumeration date
07/24/2007
Last updated
06/22/2009
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