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1376960146
DANIEL WIERCK
FOUNTAIN HILLS, AZ
NPI
1376960146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 5683)
Enumeration Date
2014-03-18
Last Update Date
2014-03-18
Business Address
-- DANIEL WIERCK PTA
16838 E PALISADES BLVD BLDG B-121
FOUNTAIN HILLS, AZ 85268-3786
Phone number: 480-837-2595
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Mailing Address
-- DANIEL WIERCK PTA
9097 E DESERT COVE AVE STE 110
SCOTTSDALE, AZ 85260-6279
Phone number: 480-551-4961
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