Individual
LAMONT HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14775 W YORKSHIRE DR, SURPRISE, AZ 85374-7224
(623) 377-9698
Mailing address
14775 W YORKSHIRE DR, SURPRISE, AZ 85374-7224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8290A
AZ
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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