Individual
ALLAN S SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10861 E BASELINE RD STE A105, MESA, AZ 85209-7921
(520) 231-1360
Mailing address
2721 W CACTUS WREN ST, APACHE JUNCTION, AZ 85120-5261
(928) 241-0201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-012176
AZ
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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