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Individual

DR. CARLOS LAMAR RENCHER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, DPT

Contact information

Practice address
4045 E BELL RD STE 150, PHOENIX, AZ 85032-2239
(216) 744-6331
Mailing address
15757 N 90TH PL APT 1005, SCOTTSDALE, AZ 85260-2003
(216) 744-6331

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034574
AZ
2255A2300X
Athletic Trainer
ATR-009354
AZ

Other

Enumeration date
03/19/2019
Last updated
01/04/2026
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