Individual
DAVID S KISICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6520 W HAPPY VALLEY RD, STE B 109, GLENDALE, AZ 85310-2615
(623) 561-1300
(623) 561-0036
Mailing address
6520 W HAPPY VALLEY RD, STE B 109, GLENDALE, AZ 85310-2615
(623) 561-1300
(623) 561-0036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5621
AZ
Other
Enumeration date
05/26/2006
Last updated
06/23/2010
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