Individual
MS. MARY KAY BISSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3048 E BASELINE RD STE 125, MESA, AZ 85204-7288
(602) 313-4664
(480) 222-1457
Mailing address
PO BOX 13550, MESA, AZ 85216-3550
(480) 325-3801
(480) 325-3805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0827
AZ
Other
Enumeration date
07/19/2006
Last updated
09/20/2021
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