THADDEUS LEE LANGENWALTER

PHOENIX, AZ
NPI1871137984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  9066)
Enumeration Date2019-10-31
Last Update Date2022-03-15
Business Address
THADDEUS LEE LANGENWALTER PTA
7310 N 16TH ST STE 100
PHOENIX, AZ 85020-5258
Phone number: 602-535-8255
Mailing Address
THADDEUS LEE LANGENWALTER PTA
7310 N 16TH ST STE 100
PHOENIX, AZ 85020-5258
Phone number: 602-535-8255
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