Individual
JEREMY PYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4555 E MAYO BLVD, PHOENIX, AZ 85050-6952
(480) 630-3303
Mailing address
4555 E. MAYO BLVD., PHOENIX, AZ 85050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9797A
AZ
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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