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NPI Code Detail

MEDICARE: IMANI NNU LITZ

MEDICARE: IMANI NNU LITZ
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
1225100000XPhysical TherapistAZ

General Provider Information

NPI Number : 1104632439
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMANI NNU LITZ
Provider Business Mailing Address
First Line : 4690 S LAKESHORE DR APT 2049
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1149
Country : US
Telephone Number : 520-990-2800
Fax Number :
Provider Business Practice Location Address
First Line : 4210 E BASELINE RD STE 106
Second Line :
City : MESA
State : AZ
Zip : 85206-4418
Country : US
Telephone Number : 480-503-2373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2024
Last Update Date : 12/11/2024

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Directions to “ IMANI NNU LITZ ” Practice Location

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