Individual
TAHLEA F CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16640 N 38TH ST, PHOENIX, AZ 85032-2103
(602) 482-6671
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013833
AZ
Other
Enumeration date
01/19/2019
Last updated
02/12/2019
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