Individual
HANZ K TABORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., DPT, FAAOMPT
Contact information
Practice address
1510 E WAGON WHEEL LN STE 102, FORT MOHAVE, AZ 86426-6698
(904) 994-5560
Mailing address
1510 E WAGON WHEEL LN STE 102, FORT MOHAVE, AZ 86426-6698
(928) 248-0444
(928) 248-0443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20336
FL
225100000X
Physical Therapist
PT20336
FL
2251X0800X
Orthopedic Physical Therapist
Primary
LPT-32815
AZ
2251X0800X
Orthopedic Physical Therapist
PT20336
FL
2251X0800X
Orthopedic Physical Therapist
PT302035
CA
Other
Enumeration date
08/14/2014
Last updated
02/12/2026
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