Individual
MRS. REEMA TARUN CHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 W GLENDALE AVE STE 102, PHOENIX, AZ 85021-8862
(602) 249-0202
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13699
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13699
—
AZ
Enumeration date
04/10/2018
Last updated
07/31/2024
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