Organization
FREEDOM PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADEN J MENGARELLI (OWNER)
(928) 440-7372
Entity
Organization
Contact information
Practice address
600 E MOELLER ST STE 5, PRESCOTT, AZ 86301-2692
(928) 420-3804
Mailing address
920 E UPPER SKY TERRACE DR, PRESCOTT, AZ 86303-5448
(928) 420-3804
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
03/14/2023
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