Individual
AMY HAHN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2302 N 15TH AVE, PHOENIX, AZ 85007-1201
(602) 265-4124
Mailing address
2302 N 15TH AVE, PHOENIX, AZ 85007-1201
(602) 265-4124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4941
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459140
—
AZ
Enumeration date
12/03/2012
Last updated
06/22/2015
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