Individual
CARLY DINNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11209 N TATUM BLVD STE B-120, PHOENIX, AZ 85028-3091
(602) 795-8441
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/10/2023
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