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Individual

MIA ELIZABETH KORUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
7355 E THOMPSON PEAK PKWY APT V3008, SCOTTSDALE, AZ 85255-4479
(253) 432-1645
Mailing address
7355 E THOMPSON PEAK PKWY APT V3008, SCOTTSDALE, AZ 85255-4479
(253) 432-1645

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
ATR-009143
AZ

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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