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Organization

KYLE D GUIDRY

Active
Other names
Guidry Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KYLE DAVID GUIDRY PT, DPT, ATC (OWNER)
(623) 760-6356
Entity
Organization

Contact information

Practice address
15949 N CRISTINE LN, SURPRISE, AZ 85388-1292
(623) 518-2127
(623) 518-2127
Mailing address
16572 W GREENWAY RD, SUITE 103, SURPRISE, AZ 85388-2183
(623) 584-3400
(623) 584-5434

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6398
AZ
225X00000X
Occupational Therapist
Primary
3243
AZ

Other

Enumeration date
06/21/2012
Last updated
07/18/2012
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