Individual
FREDRICK MBINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4918 E 25TH ST, TUCSON, AZ 85711-4933
(520) 331-3359
Mailing address
4918 E 25TH ST, TUCSON, AZ 85711-4933
(520) 331-3359
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11212A
AZ
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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