NPI 1508115528

Colvin Perry, PTA

Practitioner Physical Therapy Assistant Show Low, AZ

Practice location

Address: 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831
Phone: (928) 537-6537
Fax: (928) 532-7969

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 9915A (AZ)

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Registry record

NPI: 1508115528
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2012
Record last updated: 5 Sep 2012

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.