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1003655812
OLIVIA IBACH
PHOENIX, AZ
NPI
1003655812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-010895)
Enumeration Date
2024-05-21
Last Update Date
2024-06-30
Business Address
OLIVIA IBACH PTA
22507 N 31ST AVE UNIT 13
PHOENIX, AZ 85027-1693
Phone number: 602-670-0713
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Mailing Address
OLIVIA IBACH PTA
22507 N 31ST AVE UNIT 13
PHOENIX, AZ 85027-1693
Phone number: 602-670-0713
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