Individual
KAYE SJOHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(505) 363-4716
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011122
AZ
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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