BRONSUN BOUYASITH PHENGDY

AVONDALE, AZ
NPI1417685397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2022-08-09
Last Update Date2022-08-09
Business Address
BRONSUN BOUYASITH PHENGDY PTA
10450 W MCDOWELL RD
AVONDALE, AZ 85392-4901
Phone number: 623-846-7614
Mailing Address
BRONSUN BOUYASITH PHENGDY PTA
2215 W HIGHLAND AVE
PHOENIX, AZ 85015-4028
Phone number: 623-414-9046
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