MIRIAM BERENICE RENDON ZAVALA

PRESCOTT VALLEY, AZ
NPI1700369386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  013789)
Enumeration Date2018-09-10
Last Update Date2018-09-10
Business Address
MIRIAM BERENICE RENDON ZAVALA PTA
6550 E 2ND ST STE B
PRESCOTT VALLEY, AZ 86314-3523
Phone number: 928-777-1932
Mailing Address
MIRIAM BERENICE RENDON ZAVALA PTA
4512 W EDGEMONT AVE
PHOENIX, AZ 85035-2212
Phone number: 480-386-2166