Individual
MICHAEL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 W REX ALLEN DR, WILLCOX, AZ 85643-1009
(520) 766-6446
Mailing address
901 W REX ALLEN DR, WILLCOX, AZ 85643-1009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-12490AZ
AZ
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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