Individual
DARIA BICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
18401 N 32ND ST, PHOENIX, AZ 85032-1210
(602) 787-6715
Mailing address
274 W ORIOLE WAY, CHANDLER, AZ 85286-4577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009026
AZ
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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