CHANTHOEUN HIM

PHOENIX, AZ
NPI1134404841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  8616A)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
-- CHANTHOEUN HIM
4720 E COTTON GIN LOOP STE 140
PHOENIX, AZ 85040-4823
Phone number: 602-567-9881
Mailing Address
-- CHANTHOEUN HIM
4720 E COTTON GIN LOOP STE 140
PHOENIX, AZ 85040-4823
Phone number: 602-567-9881
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