RICARDO PLASCENCIA

PHOENIX, AZ
NPI1740734532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  12440A)
Enumeration Date2016-08-09
Last Update Date2016-08-09
Business Address
-- RICARDO PLASCENCIA PTA
6036 N 19TH AVE STE 303
PHOENIX, AZ 85015-2106
Phone number: 602-795-8441
Mailing Address
-- RICARDO PLASCENCIA PTA
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223