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1366104192
VADIM AYZENSHTAT
TUCSON, AZ
NPI
1366104192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ Pending)
Enumeration Date
2021-10-08
Last Update Date
2022-03-28
Business Address
VADIM AYZENSHTAT PT
2424 N WYATT DR STE 130
TUCSON, AZ 85712-6102
Phone number: 520-784-6570
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Mailing Address
VADIM AYZENSHTAT PT
PO BOX 31630
TUCSON, AZ 85751-1630
Phone number: 520-784-6570
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