Individual
JOSHUA SALAO SIYAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 W OSBORN RD STE 303, PHOENIX, AZ 85013-3820
(602) 279-8022
Mailing address
17233 N HOLMES BLVD STE 1650, PHOENIX, AZ 85053-2030
(602) 547-1836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30166
AZ
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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