Provider Demographics
NPI:1225081839
Name:GAZO, JOSEPH M (PT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:GAZO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 71846
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1015
Mailing Address - Country:US
Mailing Address - Phone:480-272-7140
Mailing Address - Fax:480-361-8216
Practice Address - Street 1:20830 N TATUM BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-7256
Practice Address - Country:US
Practice Address - Phone:480-473-1200
Practice Address - Fax:480-473-1250
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2016-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ5603225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist