Individual
NAM LE-MORAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10049 E DYNAMITE BLVD STE 130, SCOTTSDALE, AZ 85262-3695
(480) 419-0848
Mailing address
28843 N 20TH LN, PHOENIX, AZ 85085-6709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11406
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/06/2017
Last updated
09/06/2017
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