Myles Brockelman
Myles Brockelman is a Physical Therapist in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5601 W Eugie Ave Ste 202Glendale, AZ 85304-1256
Phone: (602) 843-8436
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1972331866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 23, 2024 |
| Last updated in NPPES | January 9, 2025 |
| Certification date | January 9, 2025 |
| Mailing address | 5310 E Cambridge Ave, Phoenix, AZ 85008-1719 |
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