Individual
MONICA A NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19424 N R H JOHNSON BLVD, SUN CITY WEST, AZ 85375-1409
(623) 546-4449
(623) 546-4480
Mailing address
6550 N 47TH AVE, 116, GLENDALE, AZ 85301-4147
(602) 403-8479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6607A
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6607A
PTA LICENSE
AZ
Enumeration date
02/28/2007
Last updated
07/08/2007
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