Individual
MICHAEL ROSS VANHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 S POWER RD STE 123, MESA, AZ 85209-6688
(480) 218-1344
Mailing address
2500 S POWER RD STE 123, MESA, AZ 85209-6688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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