Individual
KIMBER LEE HATTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7331 E OSBORN DR, SUITE 100, SCOTTSDALE, AZ 85251-6435
(480) 949-7963
(480) 424-7272
Mailing address
7339 E. OSBORN DRIVE, SUITE 100, SCOTTSDALE, AZ 85251-6420
(480) 949-7963
(480) 424-7272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7774A
AZ
Other
Enumeration date
08/15/2007
Last updated
05/05/2011
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