Individual
HAROLD ILAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6537
Mailing address
PO BOX 81343, CIBECUE, AZ 85911-1343
(928) 332-2748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8492
AZ
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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