Individual
BRONSUN BOUYASITH PHENGDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10450 W MCDOWELL RD, AVONDALE, AZ 85392-4901
(623) 846-7614
Mailing address
2215 W HIGHLAND AVE, PHOENIX, AZ 85015-4028
(623) 414-9046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us