Individual
GABRIEL ALEJANDRO AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
(623) 907-0746
Mailing address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12345A
AZ
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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