Provider Demographics
NPI:1871621003
Name:BRENCI, ELIZABETH A (PT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:BRENCI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:888 E CLINTON ST
Mailing Address - Street 2:1130
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5802
Mailing Address - Country:US
Mailing Address - Phone:850-586-0818
Mailing Address - Fax:
Practice Address - Street 1:9700 N 91ST ST
Practice Address - Street 2:A115
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5054
Practice Address - Country:US
Practice Address - Phone:480-922-1376
Practice Address - Fax:480-922-8783
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7598225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist