Individual
AMANDA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 130, PHOENIX, AZ 85037-2388
(480) 787-5387
(623) 232-3250
Mailing address
9150 W INDIAN SCHOOL RD STE 130, PHOENIX, AZ 85037-2388
(480) 787-5387
(623) 232-3250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137034
—
AZ
Enumeration date
05/31/2023
Last updated
12/04/2024
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