Individual
MRS. MARY GORBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
10201 N 35TH AVE # 101, PHOENIX, AZ 85051-9561
(602) 751-7317
Mailing address
9061 N 37TH AVE, PHOENIX, AZ 85051-3312
(602) 751-7317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-02816P
AZ
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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