Individual
MS. CAROL RISTAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1420 E NORTHERN AVE, PHOENIX, AZ 85020-4317
(602) 331-7330
(602) 331-7344
Mailing address
3343 E CLARENDON AVE, PHOENIX, AZ 85018-5709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0510
AZ
Other
Enumeration date
02/11/2007
Last updated
03/24/2010
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