WILIBALDO SANDOVAL

GILBERT, AZ
NPI1093313959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  013777)
Enumeration Date2020-10-13
Last Update Date2020-10-13
Business Address
WILIBALDO SANDOVAL
2451 E BASELINE RD STE 100
GILBERT, AZ 85234-2467
Phone number: 480-304-5152
Mailing Address
WILIBALDO SANDOVAL
5262 E VISTA GRANDE
SAN TAN VALLEY, AZ 85140-6500
Phone number: 602-582-9383