Individual
KATHRYN MARIE DEKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
690 N COFCO CENTER CT, STE 290, PHOENIX, AZ 85008-6462
(602) 631-3181
(602) 631-3182
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8678
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3931
HEALTHNET
AZ
Enumeration date
09/24/2009
Last updated
01/25/2017
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