Individual
MR. MICHAEL RONALD HUYLEBROECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.. M.B.A.
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-3611
Mailing address
6578 PINTO CIR, PINETOP, AZ 85935-8217
(928) 338-3611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1803
AZ
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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