Provider Demographics
NPI:1245386853
Name:ARAUJO, BRIAN G (PT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:G
Last Name:ARAUJO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JFK BLVD
Mailing Address - Street 2:APARTMENT 19 B
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:928-814-8161
Mailing Address - Fax:
Practice Address - Street 1:1818 E SKY HARBOR CIR N
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-3418
Practice Address - Country:US
Practice Address - Phone:602-244-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist