Individual
MS. MARIJKE SCHUPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
191 LYNX DR, SEDONA, AZ 86336-7142
(928) 203-4337
Mailing address
191 LYNX DR, SEDONA, AZ 86336-7142
(928) 203-4337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2174
AZ
Other
Enumeration date
09/02/2006
Last updated
07/10/2009
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