PAWAT POUPONGTONG

BUCKEYE, AZ
NPI1902407976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  30798)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
PAWAT POUPONGTONG DPT
23350 W YUMA RD
BUCKEYE, AZ 85326-3106
Phone number: 623-242-6908
Mailing Address
PAWAT POUPONGTONG DPT
17830 N 45TH AVE
GLENDALE, AZ 85308-1650
Phone number: 562-455-3886
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