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Individual

CARRIE A YAEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
15255 N 40TH ST STE 123, PHOENIX, AZ 85032-4638
(480) 502-5361
(480) 502-5369
Mailing address
9097 E DESERT COVE AVE STE 110, SCOTTSDALE, AZ 85260-6276
(480) 502-5361
(480) 502-5369

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9401
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
653389
AZ
Enumeration date
10/12/2011
Last updated
03/03/2022
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