Individual
TATUM NICOLE TORIBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 E BASELINE RD, GILBERT, AZ 85234-2471
(480) 304-5152
Mailing address
1137 S FARGO CT, CHANDLER, AZ 85286-1042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014034
AZ
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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