Joshua Salao Siyavong
Physical Therapist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1508345596
StatusActive
Last updated in NPPESAug 9, 2018
Details
- NPI
- 1508345596
- Entity type
- Individual (NPI-1)
- Name
- Joshua Salao Siyavong
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2018
- Last updated
- Aug 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | LPT-30166 | AZ | Yes |
Practice location
444 W Osborn Rd Ste 303Phoenix, AZ 85013-3820
Phone 602-279-8022
Mailing address
17233 N Holmes Blvd Ste 1650Phoenix, AZ 85053-2030
Phone 602-547-1836
Other practice locations
17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030
Phoenix, AZ 85053-2030
Phone 602-547-1836 · Fax 602-547-2806
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