RUMEN ANTONIEV PETKOV

GLENDALE, AZ
NPI1245613553
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  OTH-007999)
Enumeration Date2015-07-06
Last Update Date2021-08-23
Business Address
RUMEN ANTONIEV PETKOV OT
5168 W AUGUSTA AVE
GLENDALE, AZ 85301-1469
Phone number: 651-442-5094
Mailing Address
RUMEN ANTONIEV PETKOV OT
5168 W AUGUSTA AVE
GLENDALE, AZ 85301-1469
Phone number: 651-442-5094