Individual
MARY SYNSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 N 91ST AVE, PHOENIX, AZ 85037-2368
(623) 772-2200
Mailing address
12625 W SEGOVIA DR, LITCHFIELD PARK, AZ 85340-5533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0081A
AZ
Other
Enumeration date
08/20/2011
Last updated
08/20/2011
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