Individual
VICTOR LEE AZOTEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
104 MAPLE ST, #3, ROCHESTER, NH 03867-2513
(603) 558-1899
Mailing address
104 MAPLE ST, #3, ROCHESTER, NH 03867-2513
(603) 558-1899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0413
NH
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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