Individual
AUSTIN ALLRED MACGILLIVRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3180 S GILBERT RD, CHANDLER, AZ 85286-5105
(408) 773-7778
Mailing address
3180 S GILBERT RD STE 5, CHANDLER, AZ 85286-5105
(480) 773-7778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-010522
AZ
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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