Individual
NICOLE EARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4348 E LEXINGTON AVE, GILBERT, AZ 85234-0730
(928) 853-5504
Mailing address
4348 E LEXINGTON AVE, GILBERT, AZ 85234-0730
(928) 853-5504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9143
AZ
Other
Enumeration date
10/29/2010
Last updated
12/08/2013
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