Individual
MISS CAYLA NICOLE FAVERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033319
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730034
NSC #
NC
Enumeration date
08/18/2021
Last updated
11/15/2024
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