Individual
OMAR MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15543 N REEMS RD STE 133, SURPRISE, AZ 85374-9582
(623) 975-5374
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033940
AZ
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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