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MR. JERICHO MANALOTO AYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
18001 N. 79TH AVE, BLDG. 3 SUITE A3, GLENDALE, AZ 85308
(623) 979-5266
(623) 776-9223
Mailing address
18001 N. 79TH AVE, BLDG, 3 SUITE A3, GLENDALE, AZ 85308
(623) 979-5266
(623) 776-9223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3460
NM
225100000X
Physical Therapist
Primary
PTL.0015793
CO

Other

Enumeration date
03/17/2008
Last updated
08/26/2019
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