Individual
RICARDO PLASCENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6036 N 19TH AVE, STE 303, PHOENIX, AZ 85015-2106
(602) 795-8441
(602) 795-8447
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12440A
AZ
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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