Individual
DOUGLAS TYSON CHAIRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2012 W SOUTHERN AVE, APACHE JUNCTION, AZ 85120-7305
(480) 983-0700
Mailing address
849 S NIELSON CT, GILBERT, AZ 85296-3663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10210A
AZ
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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