Individual
LUCIA D RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6000 S 7TH ST, PHOENIX, AZ 85042-4209
(602) 243-4800
Mailing address
44908 W BALBOA DR, MARICOPA, AZ 85139-8821
(480) 510-1270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010655
AZ
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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