Individual
NICOLE MCCANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
16815 S DESERT FOOTHILLS PKWY, SUITE 126, PHOENIX, AZ 85048-8401
(480) 704-5954
Mailing address
16815 S DESERT FOOTHILLS PKWY, SUITE 126, PHOENIX, AZ 85048-8401
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11151PT
AZ
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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