Individual
MS. LISA M MADONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
16856 E LAST TRAIL DR, FOUNTAIN HILLS, AZ 85268-6640
(480) 837-8066
Mailing address
16103 E BALSAM DR, FOUNTAIN HILLS, AZ 85268-2216
(480) 837-2470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178782
ACHESS
AZ
Enumeration date
02/01/2006
Last updated
07/08/2007
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