Individual
MRS. TERESA MARIE MISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2835 E BROWN RD, SUITE 101, MESA, AZ 85213-5470
(480) 807-6644
Mailing address
366 E KRISTA WAY, TEMPE, AZ 85284-1445
(248) 767-4139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9740A
AZ
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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