Individual
PATRICIA MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11071 S. CAMELBACK ROAD, YUCCA, AZ 86438-0155
(928) 279-3652
(888) 446-5008
Mailing address
PO BOX 155, YUCCA, AZ 86438-0155
(928) 279-3652
(888) 446-5008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501013680
MI
225100000X
Physical Therapist
Primary
8596
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628701
—
AZ
Enumeration date
03/05/2008
Last updated
03/14/2013
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