Individual
KIRSTEN BETHANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
(602) 368-8601
Mailing address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
12869
AZ
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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