Individual
NIPAPORN SOMYOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
616 E. SOUTHERN AVE., 102, PHOENIX, AZ 85204-6867
(602) 569-5656
(602) 569-5656
Mailing address
2418 E DANBURY RD, PHOENIX, AZ 85032-2425
(602) 256-5656
(602) 569-6119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11998
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114268
—
AZ
Enumeration date
08/27/2013
Last updated
04/20/2016
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