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NPI Code Detail

MEDICARE: SONCOYA CUMMINGS

MEDICARE: SONCOYA CUMMINGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant014284AZ

General Provider Information

NPI Number : 1629777214
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONCOYA CUMMINGS
Provider Business Mailing Address
First Line : 1 W CAMPBELL AVE APT 2089
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4915
Country : US
Telephone Number : 850-543-0616
Fax Number :
Provider Business Practice Location Address
First Line : 17300 N 88TH AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3501
Country : US
Telephone Number : 623-972-0212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2023
Last Update Date : 03/02/2023

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Directions to “ SONCOYA CUMMINGS ” Practice Location

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