Individual
MR. ROB TWIETMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17300 N 88TH AVE, PEORIA, AZ 85382-3501
(623) 977-0807
Mailing address
17300 N 88TH AVE, PEORIA, AZ 85382-3501
(623) 977-0807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AZ5652A
AZ
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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