NICHOLAS BRUSSTAR TRAVERS

GOODYEAR, AZ
NPI1184268831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  LPT-30985)
Enumeration Date2019-11-05
Last Update Date2019-11-05
Business Address
NICHOLAS BRUSSTAR TRAVERS PT, DPT
14557 W INDIAN SCHOOL RD # 500
GOODYEAR, AZ 85395-9218
Phone number: 623-242-6908
Mailing Address
NICHOLAS BRUSSTAR TRAVERS PT, DPT
13226 N 79TH ST
SCOTTSDALE, AZ 85260-4016
Phone number: 480-266-1995
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