Organization
BRAIN PERFORMANCE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SCOTT DAVIS O.T (MEMBER/MANAGER)
(480) 678-0872
Entity
Organization
Contact information
Practice address
6840 E BROWN RD STE 104, MESA, AZ 85207-3759
(480) 719-8080
(480) 981-8595
Mailing address
3397 E VAUGHN AVE, GILBERT, AZ 85234-4135
(480) 678-0872
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2478
AZ
Other
Enumeration date
09/16/2014
Last updated
05/07/2020
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