Individual
MS. GAYLE A WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2830 W GLENDALE AVE STE 28, PHOENIX, AZ 85051-8450
(602) 399-2378
Mailing address
2830 W GLENDALE AVE, SUITE 28, PHOENIX, AZ 85051-8400
(602) 399-2378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8208
AZ
Other
Enumeration date
01/31/2007
Last updated
05/25/2016
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