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Individual

CHELSIE WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3930 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85248-4510
(480) 899-9829
Mailing address
255 E CHANDLER HEIGHTS RD APT 5, CHANDLER, AZ 85249-5600
(480) 529-0835

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12616APTA
AZ
225200000X
Physical Therapy Assistant
A03531
KY

Other

Enumeration date
01/09/2018
Last updated
03/17/2018
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