Individual
MICHAEL WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5138 N PINE DR, STRAWBERRY, AZ 85544-2769
(602) 618-2082
Mailing address
1144 E BOW MAKER TRL, COTTONWOOD, AZ 86326-4988
(928) 300-1361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014448
AZ
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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