Individual
ROSA IRENE VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2529 W CACTUS RD APT 1115, PHOENIX, AZ 85029-2592
(520) 709-8969
Mailing address
333 E STOREY RD, CASA GRANDE, AZ 85194-7545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013774
AZ
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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