Individual
MR. RICHARD RONALD BOECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16421 N TATUM BLVD, SUITE 208, PHOENIX, AZ 85032-3454
(602) 923-6600
(602) 923-6611
Mailing address
3520 E UTOPIA RD, PHOENIX, AZ 85050-3966
(602) 867-8335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2049
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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