Individual
MS. KELLY ANNE VITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
HWY 264 MP 388, HHCC - PHYSICAL THERAPY DEPARTMENT, POLACCA, AZ 86042-4000
(928) 737-6130
(928) 737-6153
Mailing address
PO BOX 4000, PHYSICAL THERAPY DEPARTMENT, POLACCA, AZ 86042-4000
(928) 737-6130
(928) 737-6153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7277
AZ
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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