Individual
VANESSA CHERYL IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 N 24TH ST, PHOENIX, AZ 85016-5253
(602) 954-9178
Mailing address
15407 N 2ND ST, PHOENIX, AZ 85022-3044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9934A
AZ
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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