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Individual

LARRY JOSEPH HAINS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2620 N 68TH ST, SCOTTSDALE, AZ 85257-1299
(480) 946-6571
Mailing address
2620 N 68TH ST, SCOTTSDALE, AZ 85257-1299
(480) 946-6571

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2159704
TX
225200000X
Physical Therapy Assistant
Primary
PTA-014327
AZ

Other

Enumeration date
01/22/2021
Last updated
03/31/2023
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