NIDA NAMATHEP

PHOENIX, AZ
NPI1265898589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  11261A)
Enumeration Date2016-01-04
Last Update Date2016-01-04
Business Address
-- NIDA NAMATHEP PTA
6036 N 19TH AVE
PHOENIX, AZ 85015-2106
Phone number: 602-795-8441
Mailing Address
-- NIDA NAMATHEP PTA
PO BOX 6570
PEORIA, AZ 85385-6570
Phone number: 623-398-8072
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