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Individual

DR. CLAY ROBERT DENSMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
20240 N 78TH AVE, GLENDALE, AZ 85308-6198
(480) 386-8964
Mailing address
21155 N 56TH ST APT 3122, PHOENIX, AZ 85054-5556
(440) 417-3757

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30052
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30052
ARIZONA STATE BOARD OF PHYSICAL THERAPY
AZ
Enumeration date
07/28/2022
Last updated
07/28/2022
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