Individual
KELSEY PICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20061 E RITTENHOUSE RD, QUEEN CREEK, AZ 85142-9712
(612) 388-9925
Mailing address
4630 S LAKESHORE DR, #182, TEMPE, AZ 85282-7164
(612) 388-9925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1118
AZ
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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