Individual
MINOR AUGUSTO SANTAMARIA ALFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
712 W VIRGINIA AVE, PHOENIX, AZ 85007-1119
(480) 865-9646
Mailing address
712 W VIRGINIA AVE, PHOENIX, AZ 85007-1119
(480) 865-9646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033595
AZ
Other
Enumeration date
05/29/2024
Last updated
11/21/2024
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