Individual
LIAT CHANA AVITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14001 N 7TH ST STE F112, PHOENIX, AZ 85022-4382
(480) 265-2140
(480) 265-2141
Mailing address
41125 N DAISY MOUNTAIN DR STE 125, ANTHEM, AZ 85086-4964
(480) 265-2132
(623) 551-5078
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
LPT-32828
AZ
225100000X
Physical Therapist
040027-1
NY
225100000X
Physical Therapist
Primary
LPT-32828
AZ
2251X0800X
Orthopedic Physical Therapist
040027-1
NY
Other
Enumeration date
03/15/2016
Last updated
05/07/2025
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