Individual
MIRANDA SEREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9069 W OLIVE AVE STE 105, PEORIA, AZ 85345-9124
(623) 257-2079
(623) 257-2706
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31898
AZ
225200000X
Physical Therapy Assistant
LPT-31898
AZ
Other
Enumeration date
08/19/2021
Last updated
01/06/2022
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