Individual
MRS. DACHISA ANDERSON STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
(623) 512-4975
Mailing address
5411 W GWEN ST, LAVEEN, AZ 85339-7162
(602) 237-0504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3511
AZ
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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