Individual
MICHAI PHONTHIBSVADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4022 E GREENWAY RD STE 1, PHOENIX, AZ 85032-4798
(480) 719-1644
Mailing address
4022 E GREENWAY RD STE 1, PHOENIX, AZ 85032-4798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033915
AZ
225100000X
Physical Therapist
Primary
PT44613
FL
Other
Enumeration date
11/25/2024
Last updated
05/11/2026
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