Individual
MR. PHILIP ANTHONY CANTORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2000
(602) 707-2040
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2000
(602) 707-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3743
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155276
AHCCCS
AZ
Enumeration date
01/24/2008
Last updated
01/24/2008
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