MARIAH ROUSH

LAKE HAVASU CITY, AZ
NPI1104424449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  PTA011894)
Enumeration Date2020-10-09
Last Update Date2020-10-09
Business Address
MARIAH ROUSH PTA
1948 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ 86403-5777
Phone number: 928-854-4776
Mailing Address
MARIAH ROUSH PTA
1948 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ 86403-5777
Phone number: 928-854-4776