Individual
DALE P DEMONBREUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-4621
Mailing address
3559 S DESERT MOTIF RD, TUCSON, AZ 85735-5158
(520) 490-8751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2567
PT LICENSE NUMBER
AZ
Enumeration date
08/10/2006
Last updated
05/30/2019
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