Individual
LIAM HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3970 E RIGGS RD STE 1, CHANDLER, AZ 85249-5412
(480) 883-0202
Mailing address
382 W REDWOOD DR, CHANDLER, AZ 85248-4577
(480) 510-3546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30717
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPT-30717
PHYSICAL THERAPY LICENSE
AZ
Enumeration date
07/02/2019
Last updated
07/02/2019
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