Individual
MYLES BROCKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 W EUGIE AVE STE 202, GLENDALE, AZ 85304-1256
(602) 843-8436
Mailing address
5310 E CAMBRIDGE AVE, PHOENIX, AZ 85008-1719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
01/09/2025
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