Individual
MIA VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3592 S ATHERTON BLVD STE 110, GILBERT, AZ 85297-7444
(480) 840-6777
Mailing address
426 E MILLETT AVE, MESA, AZ 85204-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033747
AZ
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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