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Organization

SHARI A MYORAKU, PT, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARI ANNE MYORAKU (OWNER)
(520) 731-0566
Entity
Organization

Contact information

Practice address
333 N WILMOT RD STE 340, SUITE 107, TUCSON, AZ 85711-2607
(520) 731-0566
(520) 731-0564
Mailing address
333 N WILMOT RD STE 340, TUCSON, AZ 85711-2607
(520) 731-0566
(520) 731-0564

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2289
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189804400
OWCP
AZ
01
Z60848
PTAN
AZ
01
Z60849
PTAN
AZ
Enumeration date
11/07/2006
Last updated
06/13/2013
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