Individual
MAITRI VIVEK MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
9455 E RAINTREE DR UNIT 1043, SCOTTSDALE, AZ 85260-7744
(812) 706-9066
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
LPT-30647
AZ
Other
Enumeration date
06/25/2019
Last updated
01/05/2022
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