Individual
CARSON D LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3930 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85248-4510
(480) 899-9829
(480) 729-9829
Mailing address
3930 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85248-4510
(480) 899-9829
(480) 729-9829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13646
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13646
PT LICENSE
AZ
Enumeration date
02/21/2018
Last updated
02/21/2018
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