Individual
JANELL MARIE FLAMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1175 W WICKENBURG WAY STE 3, WICKENBURG, AZ 85390-2262
(928) 668-0108
(928) 668-0110
Mailing address
1175 W WICKENBURG WAY STE 3, WICKENBURG, AZ 85390-2262
(928) 668-0108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3331
NV
225100000X
Physical Therapist
Primary
9489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104798
—
AZ
01
—
P01623027
RAILROAD MEDICARE
AZ
01
—
Z186361
MEDICARE
AZ
Enumeration date
03/27/2012
Last updated
08/06/2022
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