Individual
BRANDI NICOLE MARKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4022 E GREENWAY RD, PHOENIX, AZ 85032-4797
(480) 719-1644
Mailing address
4022 E GREENWAY RD STE 1, PHOENIX, AZ 85032-4798
(480) 719-1644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014654
AZ
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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