Individual
PETER PODBIELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
4110 N 108 AVE, #103, PHOENIX, AZ 85037
(623) 877-9915
(623) 877-1550
Mailing address
4110 N 108 AVE, #103, PHOENIX, AZ 85037
(623) 877-9915
(623) 877-1550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7846
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304771
—
AZ
01
—
LICENSE
LICENSE
AZ
Enumeration date
01/30/2008
Last updated
03/18/2010
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