DUSTIN RAY BRISCO

KINGMAN, AZ
NPI1538243183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  5607)
Enumeration Date2006-10-24
Last Update Date2008-12-05
Business Address
Mr. DUSTIN RAY BRISCO PT
2120 AIRWAY AVENUE
KINGMAN, AZ 86409-3027
Phone number: 928-757-1211
Mailing Address
Mr. DUSTIN RAY BRISCO PT
2120 AIRWAY AVENUE
KINGMAN, AZ 86409-3027
Phone number: 928-757-1211