Individual
DIANE MARIE DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
7540 N 19TH AVE STE 101, PHOENIX, AZ 85021-7967
(602) 249-9129
Mailing address
7540 N 19TH AVE STE 101, PHOENIX, AZ 85021-7967
(602) 249-9129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6918A
AZ
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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