IndividualActive
Amy Pavlica, PTA-014787
NPI 1265286306 · Physical Therapy Assistant · Tempe, AZ
Provider details
- NPI number
- 1265286306
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA-014787
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA-014787 (AZ)
Mailing address
10137 E Tupelo Ave
Mesa, AZ 85212-8454
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.