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Individual

KENDALL BILGER ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
24250 N 23RD AVE, 2042, PHOENIX, AZ 85085-1996
(602) 866-2231
Mailing address
24250 N 23RD AVE, 2042, PHOENIX, AZ 85085-1996

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8628PT
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
468445
AZ
Enumeration date
09/02/2009
Last updated
09/20/2012
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