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Individual

ANTHONY LOPAKA LELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
1951 W CAMELBACK RD STE 101, PHOENIX, AZ 85015-3483
(480) 396-2781
(480) 854-3094
Mailing address
4850 E BASELINE RD STE 114, MESA, AZ 85206-4626
(480) 396-2781
(480) 854-3094

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7364PT
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199399
AZ
Enumeration date
04/20/2006
Last updated
11/10/2023
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