Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 5569 | AZ |
NPI | 1457309486 |
---|---|
Provider Name | Drew Giardina |
First Address | Phoenix, AZ 85050-1015 |
Second Address | Cave Creek, AZ 85331-4407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 20/02/2008 |