Individual
CALEB LIONBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, ATC
Contact information
Practice address
8685 W UNION HILLS DR, PEORIA, AZ 85382-7006
(623) 486-2331
Mailing address
5188 W CAMPO BELLO DR, GLENDALE, AZ 85308-3925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7528A
AZ
2255A2300X
Athletic Trainer
1137
AZ
Other
Enumeration date
01/20/2009
Last updated
06/25/2015
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