Individual
CASEY TOMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11411 N 19TH AVE, PHOENIX, AZ 85029-3642
(602) 256-7500
Mailing address
26249 N 46TH PL, PHOENIX, AZ 85050-8503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6026147415
—
AZ
Enumeration date
09/10/2021
Last updated
09/10/2021
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