Individual
BREE'ANNA WICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4530 E MUIRWOOD DR STE 110, PHOENIX, AZ 85048-7693
(480) 763-5808
(480) 759-0647
Mailing address
2910 N 3RD AVE # 200, PHOENIX, AZ 85013-4434
(602) 406-3181
(602) 264-2417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-011912
AZ
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
11/10/2015
Last updated
02/02/2024
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