Individual
ANDRES MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7525 E BROADWAY RD STE 6, MESA, AZ 85208-1156
(480) 354-2911
(480) 984-3169
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30226
AZ
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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