Individual
ROBERT THORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11411 N 19TH AVE, PHOENIX, AZ 85029-3642
(602) 256-7500
Mailing address
2433 W MAIN ST APT 298, MESA, AZ 85201-7836
(630) 777-2667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31301
AZ
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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