Individual
PATRICIA GAIL IBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17490 N 93RD ST, SCOTTSDALE, AZ 85255-6323
(480) 630-3749
Mailing address
4322 MATILIJA AVE APT 12, SHERMAN OAKS, CA 91423-3677
(310) 498-1963
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
8900
AZ
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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