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Individual

MARISSA CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
690 COOPER RD, SUITE 101, GILBERT, AZ 85233-0000
(480) 503-2100
(480) 503-2131
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7451
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64890
MEDICARE GROUP NUMBER
AZ
Enumeration date
11/16/2006
Last updated
03/12/2018
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