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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WARREN JAMES LAKE, P.T.

Active Sole Proprietor

MR. WARREN JAMES LAKE, P.T. is a Physical Therapy Assistant healthcare provider located in PHOENIX, Arizona. NPI 1659502979 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PHOENIX, AZ

Registration Details

NPI Number
1659502979
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2009 (17.00156516896 yrs)
Last Updated
Feb 28, 2012
License
8589 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1530 W GLENDALE AVE
SUITE 101
PHOENIX, AZ, 850218578
Browse AZ providers · Browse ZIP 85021
Phone
6022421909
Fax
8773750934
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PHOENIX, AZ

Name Credential NPI
JAMES H KOSTREWA PT 1679576698
MS. TERESA N GRAFF PT 1770586455
MR. CHAD REILLY MPT 1194728410
MR. JONATHAN ISAAC SCHIBEL PT 1649275900
DOUGLAS BROWN RICE BSPT 1588661888
CHANDRIKA LOTWALA DPT 1871590174
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.