Individual
DOROTHY SUSAN DE MOUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 376-3975
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 376-3975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3636
AZ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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