Individual
ENRIQUE ISAIAH GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2330 N 75TH AVE STE 113, PHOENIX, AZ 85035-1200
(623) 251-5909
Mailing address
2330 N 75TH AVE STE 113, PHOENIX, AZ 85035-1200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014066
AZ
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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