IndividualActive
Aly Soro, PTA
NPI 1699519389 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Maricopa, AZ
Provider details
- NPI number
- 1699519389
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA-014644 (AZ)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense PTA-014644 (AZ)
Allopathic & Osteopathic Physicians
Practice location
21083 N John Wayne Pkwy Ste C104
Maricopa, AZ 85139-2961
Phone: (520) 233-7555
Approximate (ZIP-level) locationGet directions
Mailing address
3633 S Dawson Pl
Tucson, AZ 85730-3212
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2024-06-19
- Certified
- 2024-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.