Individual
CONNOR SOCHACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 W SHAW BUTTE DR, PHOENIX, AZ 85029-3417
(360) 281-5268
Mailing address
2401 W SHAW BUTTE DR, PHOENIX, AZ 85029-3417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014237
AZ
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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