Individual
KAMI DASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43491 N COYOTE RD, SAN TAN VALLEY, AZ 85140-8924
(480) 735-9837
Mailing address
43491 N COYOTE RD, SAN TAN VALLEY, AZ 85140-8924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013875
AZ
Other
Enumeration date
03/24/2023
Last updated
05/09/2023
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