Individual
JOANITA AUSTRID BRANTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
641 W MCNAIR ST, CHANDLER, AZ 85225-1831
(602) 316-9321
Mailing address
641 W MCNAIR ST, CHANDLER, AZ 85225-1831
(602) 316-9321
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT-06809
AZ
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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