Individual
EMIL PALENSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2650 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7955
(928) 537-8196
Mailing address
2650 E SHOW LOW LAKE RD, SUITE 3, SHOW LOW, AZ 85901-7955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7269
AZ
Other
Enumeration date
05/28/2006
Last updated
11/16/2007
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