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Individual

MARY KATHERINE HEGARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4830 HIGHWAY 260 STE 105, LAKESIDE, AZ 85929-5851
(928) 532-1221
Mailing address
4830 HIGHWAY 260 STE 105, LAKESIDE, AZ 85929-5851
(928) 532-1221

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1477
AZ

Other

Enumeration date
04/25/2018
Last updated
04/25/2018
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