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1164506416
DEROSA PHYSICAL THERAPY PC
FLAGSTAFF, AZ
NPI
1164506416
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Entity Type
Organization
Authorized Contact
MARLENE MARIE DEROSA
Owner
928-774-6626
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 767)
Enumeration Date
2006-10-24
Last Update Date
2011-04-12
Business Address
DEROSA PHYSICAL THERAPY PC
1485 N. TURQUOISE DR SUITE 220
FLAGSTAFF, AZ 86001
Phone number: 928-774-6626
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Mailing Address
DEROSA PHYSICAL THERAPY PC
1485 N. TURQUOISE DR SUITE 220
FLAGSTAFF, AZ 86001
Phone number: 928-774-6626
Copy
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