Individual
MR. KENTON GUY FOUNDAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 717-7493
(928) 776-6172
Mailing address
3380 N NAVAJO DR, PRESCOTT VALLEY, AZ 86314-8247
(928) 772-9368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
93
MT
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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