Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 8587 | AZ |
NPI | 1003226374 |
---|---|
Provider Name | Manar Kazar |
First Address | Gilbert, AZ 85295-5209 |
Second Address | Gilbert, AZ 85295-5209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2014 |
Last Update Date | 07/05/2014 |