Individual
RAUL ALBERTO PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14515 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-6021
(623) 975-8000
Mailing address
14515 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-6021
(623) 975-8000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10179A
AZ
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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