Individual
MR. MARK ALAN PEZZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
13055 W MCDOWELL RD, STE G-107, AVONDALE, AZ 85392-6449
(623) 547-4787
(623) 547-4787
Mailing address
17699 WEST SURREY DRIVE, SURPRISE, AZ 85388-6562
(623) 544-1342
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0234A
AZ
Other
Enumeration date
05/02/2007
Last updated
05/16/2008
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