Individual
MA CAUBALEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
350 EAST LA CANADA BLVD, AVONDALE, AZ 85323
(623) 932-2282
Mailing address
12350 W CAMPBELL AVE, AVONDALE, AZ 85392-4295
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10787
AZ
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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