Individual
MELISSA IWATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 N S HERRERA WAY, PHOENIX, AZ 85012-1814
(602) 248-1550
Mailing address
12857 BREEZEWOOD DR, LA MIRADA, CA 90638-2620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13469
AZ
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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