NPI 1952059552 · live from the CMS NPI Registry
Dominic Robert Affuso
Physical Therapist in Peoria, AZ. National Provider Identifier 1952059552, active.
NPI record
| NPI | 1952059552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 17300 N 88th Ave, Peoria, AZ 85382 |
| Practice phone | 480-340-1750 |
| Mailing address | 31611 N 132nd Dr, Peoria, AZ 85383 |
| Enumerated | March 13, 2022 |
| Last updated | March 13, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5333 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.