Individual
BRENTON JAY FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ATC CSCS
Contact information
Practice address
719 W KALER DR, PHOENIX, AZ 85021-8026
(480) 577-6802
Mailing address
719 W KALER DR, PHOENIX, AZ 85021-8026
(480) 577-6802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2667
AZ
2251S0007X
Sports Physical Therapist
2667
AZ
Other
Enumeration date
02/12/2007
Last updated
12/10/2022
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