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Individual

KAIOPA STAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6300 E SPEEDWAY BLVD, TUCSON, AZ 85710-1164
(520) 549-1020
Mailing address
4521 N ROCKY CREEK CIR, TUCSON, AZ 85750-6113
(520) 425-9593

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32667
AZ

Other

Enumeration date
11/30/2022
Last updated
11/30/2022
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