NPI 1104360643
Teresa Corless, PTA
Practice location
- Address
- 1310 S Los Altos Dr, Chandler, AZ 85286-6127
- Phone
- (602) 370-9208
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1104360643
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Dec 2016
- Record last updated
- 16 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.