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Bree'Anna Wickey

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693

PECOS Enrollment

Based on the most recent information from CMS, provider Bree'Anna Wickey does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1891168019
Provider Type
Individual
Full Name
Wickey, Bree'Anna
Credential
DPT

Gender
Female
Sole Proprietor
No
Enumeration Date
11/10/2015
Last Updated
2/2/2024

Contact Information

Practice Location

4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693

(480) 763-5808

(480) 759-0647

Mailing Location

2910 N 3rd Ave # 200, Phoenix, AZ 85013-4434

(602) 406-3181

(602) 264-2417

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License LPT-011912 Arizona
Code 2251S0007X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 2251X0800X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Bree'Anna Wickey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Smith, Mary Margaret

Brown, Eric

Law, Gregory D

Clark, Matthew Austin

Caldez, Derreck

Kays, Pamela V

Bartow, Brian

Olson, Cassie

Sinfuego, Francis S

Lyon, Jeffrey