Individual
MAYALIN BORROMEO LAFORTEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61151200
WA
Other
Enumeration date
07/20/2021
Last updated
03/12/2025
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