Individual
DEBORAH A MORDHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2919 S ELLSWORTH RD, SUITE 111, MESA, AZ 85212-2164
(480) 358-6767
(480) 358-6885
Mailing address
2725 WATER RIDGE PKWY, SUITE 300, CHARLOTTE, NC 28217-4580
(704) 831-5065
(704) 831-5066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7955
AZ LICENSE
AZ
Enumeration date
04/08/2008
Last updated
04/08/2008
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