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Physical Therapist

NPI: 1649040882IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2023

Contact & Hours

Address: 1190 E MISSOURI AVE STE 100
PHOENIX, AZ 85014
Phone: (602) 393-0520

Location

Practice Location

1190 E MISSOURI AVE STE 100, PHOENIX, AZ

Quick Facts

NPI: 1649040882
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 3

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