Provider Demographics
NPI:1740309293
Name:SAEZ, FRANDIOBEN SERGIO (PT)
Entity type:Individual
Prefix:MR
First Name:FRANDIOBEN
Middle Name:SERGIO
Last Name:SAEZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6541 S EMERALD DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-7439
Mailing Address - Country:US
Mailing Address - Phone:480-335-8882
Mailing Address - Fax:888-665-0243
Practice Address - Street 1:6541 S EMERALD DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-7439
Practice Address - Country:US
Practice Address - Phone:480-335-8882
Practice Address - Fax:888-665-0243
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8067225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist