Individual
HERBERT FORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1400 E SOUTHERN AVE STE 310, TEMPE, AZ 85282-5695
(623) 688-0946
Mailing address
7153 W TINA LN, GLENDALE, AZ 85310-5272
(623) 205-9562
(623) 476-2707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN129482
AZ
225100000X
Physical Therapist
Primary
6119
AZ
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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