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Individual

MIGUEL LEFORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSPT

Contact information

Practice address
10721 W INDIAN SCHOOL RD, SUITE A-101, AVONDALE, AZ 85392-5636
(623) 772-7748
(623) 772-7749
Mailing address
9097 E DESERT COVE AVE, SUITE 110, SCOTTSDALE, AZ 85260-6710
(480) 860-4298
(480) 860-0356

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5946
AZ

Other

Enumeration date
07/06/2005
Last updated
06/12/2013
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