Individual
ROSS PATRICK BRANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4350 E ELMWOOD ST, TUCSON, AZ 85711-2959
(520) 312-1067
Mailing address
4350 E ELMWOOD ST, TUCSON, AZ 85711-2959
(152) 031-2106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5757
AZ
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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