CLIFF R FORTUNAT

GLENDALE, AZ
NPI1770854531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  9477APTA)
Enumeration Date2012-01-25
Last Update Date2012-01-25
Business Address
-- CLIFF R FORTUNAT PTA
20325 N 51ST AVE STE 8
GLENDALE, AZ 85308-5665
Phone number: 623-466-6350
Mailing Address
-- CLIFF R FORTUNAT PTA
1350 W VAN BUREN ST APT 2018
PHOENIX, AZ 85007-2584
Phone number:
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