Individual
JOAN MACTOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8240 W CACTUS RD, PEORIA, AZ 85381-5231
(623) 878-9696
(623) 776-0668
Mailing address
8240 W. CACTUS RD, PEORIA, AZ 85381
(623) 878-9696
(623) 776-0668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026411
—
AZ
Enumeration date
06/10/2015
Last updated
11/09/2017
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