Individual
MR. JOSE DAVID SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8115 E INDIAN BEND RD, SUITE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
(480) 951-6464
Mailing address
10557 W ALVARADO RD, AVONDALE, AZ 85392-4711
(623) 203-7106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7561A
AZ
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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