Austen David Archibald, PT, DPT
Physical Therapist in Gilbert, AZ. Individual provider (NPI-1).
NPI number1982196051
StatusActive
Last updated in NPPESJun 4, 2018
Details
- NPI
- 1982196051
- Entity type
- Individual (NPI-1)
- Name
- Austen David Archibald
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Last updated
- Jun 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | LPT30021 | AZ | Yes |
Practice location
3507 S Mercy Rd Ste 105Gilbert, AZ 85297-0441
Phone 480-926-0404
Mailing address
3507 S Mercy Rd Ste 105Gilbert, AZ 85297-0441
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