Individual
MARIA CAMILA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1233 N. MAIN STREET, SUITE 10, 11, 12, SAN LUIS, AZ 85349-0000
(928) 722-6050
Mailing address
PO BOX 5841, YUMA, AZ 85366-2490
(928) 722-6050
(928) 722-6094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30237
AZ
Other
Enumeration date
09/10/2018
Last updated
07/05/2019
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