Michael Paul Dovico, P.T, D.P.T., A.T.C.
Physical Therapist in Chandler, AZ. Individual provider (NPI-1).
NPI number1023332186
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1023332186
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Paul Dovico
- Credential
- P.T, D.P.T., A.T.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2010
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 31108 | AZ | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | 11540 | CO | |
| 2251X0800X | Physical Therapist, Orthopedic | 31108 | AZ | |
| 2251X0800X | Physical Therapist, Orthopedic | 8656 | AZ | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0651 | AZ |
Practice location
7225 W Harrison StChandler, AZ 85226-1513
Phone 480-306-4160 · Fax 480-306-4274
Mailing address
Po Box 80217Phoenix, AZ 85060-0217
Phone 602-385-2115 · Fax 480-418-3323
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