Omar Maldonado
Physical Therapist in Surprise, AZ. Individual provider (NPI-1).
NPI number1619784089
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1619784089
- Entity type
- Individual (NPI-1)
- Name
- Omar Maldonado
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 033940 | AZ | Yes |
Practice location
15543 N Reems Rd Ste 133Surprise, AZ 85374-9582
Phone 623-975-5374
Mailing address
1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005
Phone 726-202-3039 · Fax 210-978-5592
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All 110 Physical Therapist providers in Surprise · All 3,078 providers in Surprise
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