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Individual

JOSHUA N LACANLALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3035 S ELLSWORTH RD, BLDG 4, #128, MESA, AZ 85212-2160
(480) 357-6500
(480) 357-6515
Mailing address
PO BOX 32490, PHOENIX, AZ 85064-2490
(602) 230-4478
(602) 230-9962

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8754
AZ

Other

Enumeration date
12/09/2009
Last updated
01/03/2022
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