Individual
CORIAN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
3102 N 56TH ST # 100, PHOENIX, AZ 85018-6606
(602) 263-1128
Mailing address
4225 E MCDOWELL RD APT 2043, PHOENIX, AZ 85008-7466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027092
AZ
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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