WILLIAM A ENNIST

GLENDALE, AZ
NPI1861905531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  12377A)
Enumeration Date2017-11-15
Last Update Date2017-11-15
Business Address
WILLIAM A ENNIST PTA
5125 N 58TH AVE
GLENDALE, AZ 85301-7453
Phone number: 623-931-5800
Mailing Address
WILLIAM A ENNIST PTA
38612 N 25TH AVE
PHOENIX, AZ 85086-0539
Phone number: 623-363-9198