Individual
PATRICIA ENEVY GOMEZ JAYME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 W THOMAS RD SUITE 5, PHOENIX, AZ 85019
(602) 272-7662
Mailing address
16856 S 1ST DR, PHOENIX, AZ 85045-0725
(210) 454-5644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT30004
AZ
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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