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Individual

DAVID A GLADYSZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1951 W 25TH ST, SUITE C, YUMA, AZ 85364-6925
(928) 726-7900
(928) 726-7901
Mailing address
PO BOX 6956, YUMA, AZ 85366-6956
(928) 343-7911
(928) 343-9528

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2457
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
417750
AZ
Enumeration date
08/01/2006
Last updated
02/26/2013
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