Individual
MAHNAN DARBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7223
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10480
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10480
IN STATE LICENSE
AZ
Enumeration date
11/26/2013
Last updated
11/26/2013
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