Individual
AMY PAVLICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA-014787
Contact information
Practice address
1952 E UNIVERSITY DR, TEMPE, AZ 85288
(480) 527-0727
Mailing address
10137 E TUPELO AVE, MESA, AZ 85212-8454
(480) 246-4773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014787
AZ
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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