BRIAN E PORTUGAL

PHOENIX, AZ
NPI1407002249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  4200)
Enumeration Date2008-08-12
Last Update Date2020-10-12
Business Address
BRIAN E PORTUGAL O.T.
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
Mailing Address
BRIAN E PORTUGAL O.T.
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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