Individual
MISS PAIGE FERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E. SOUTHERN AVE. STE 310, SUPPLEMENTAL HEALTHCARE, TEMPE, AZ 85282
(866) 308-2700
Mailing address
6796 W GREENBRIAR DR, GLENDALE, AZ 85308-8440
(623) 332-1504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10965A
AZ
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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