Individual
PERCIVAL FONTECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4045 E BELL RD STE 150, PHOENIX, AZ 85032-2239
(602) 992-8352
(602) 992-5557
Mailing address
6980 E SAHUARO DR APT 2056, SCOTTSDALE, AZ 85254-5297
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11280
AZ
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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