MATTHEW WALLENDER

LAKE HAVASU CITY, AZ
NPI1649145764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  015022)
Enumeration Date2025-10-08
Last Update Date2025-10-08
Business Address
MATTHEW WALLENDER PTA
191 SWANSON AVE
LAKE HAVASU CITY, AZ 86403-6699
Phone number: 928-855-7880
Mailing Address
MATTHEW WALLENDER PTA
191 SWANSON AVE
LAKE HAVASU CITY, AZ 86403-6699
Phone number: 928-855-7880