Individual
MR. LANCE PHILLIP VAN ARSDELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6303 E MALLORY ST, MESA, AZ 85215-2114
(602) 619-8582
(480) 654-0054
Mailing address
6303 E MALLORY ST, MESA, AZ 85215-2114
(602) 619-8582
(480) 654-0054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529703
—
AZ
Enumeration date
05/25/2006
Last updated
07/09/2007
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