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1912952219
SHAUN A. KOTH
GLENDALE, AZ
NPI
1912952219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 4108)
Enumeration Date
2006-05-24
Last Update Date
2022-02-24
Business Address
SHAUN A. KOTH P.T.
16222 N 59TH AVE SUITE A100
GLENDALE, AZ 85306-1701
Phone number: 623-334-4000
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Mailing Address
SHAUN A. KOTH P.T.
16222 N 59TH AVE SUITE A100
GLENDALE, AZ 85306-1701
Phone number: 623-334-4000
Copy
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