Chotika Pornphol
Chotika Pornphol is a Massage Therapist in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
22032 N 74th LnGlendale, AZ 85310-5637
Phone: (469) 915-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1528744331 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2023 |
| Last updated in NPPES | June 26, 2023 |
| Certification date | June 26, 2023 |
| Mailing address | 22032 N 74th Ln, Glendale, AZ 85310-5637 |
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