Individual
CARLOS SIFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10750 W MCDOWELL RD., STE. B-210, AVONDALE, AZ 85323
(623) 907-0746
Mailing address
10750 W MCDOWELL RD., STE. B-210, AVONDALE, AZ 85323
(623) 907-0746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30258
AZ
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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