NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053326561 |   |   |   | PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF EAST VANCOUVER LLC | PO BOX 52194 | PHOENIX | AZ | 850722194 |
1992288187 | KUSH | TESSA |   |   | 1480 NE VILLAGE ST | FAIRVIEW | OR | 970243827 |
1801057765 | NALL | RYAN | M |   | PO BOX 52194 | PHOENIX | AZ | 850722194 |