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Individual

ROBERT MOTTRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9784 W YEARLING RD, BUILDING B, SUITE 1520, PEORIA, AZ 85383-1379
(623) 412-2117
(623) 412-2118
Mailing address
41125 N DAISY MOUNTAIN DR, SUITE 125, ANTHEM, AZ 85086-4954
(623) 551-9706
(623) 551-5078

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8636
AZ

Other

Enumeration date
11/26/2014
Last updated
11/26/2014
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