Individual
PHILLIP G WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8826 W SELDON LN, PEORIA, AZ 85345-2517
(602) 791-8823
Mailing address
8826 W SELDON LN, PEORIA, AZ 85345-2517
(602) 791-8823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-09025
AZ
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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