Individual
MRS. CAROL THERESA PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 HAVASUPAI BLVD, LAKE HAVASU CITY, AZ 86403-3122
(928) 505-6900
Mailing address
1954 DAYTONA AVE, LAKE HAVASU CITY, AZ 86403-7418
(928) 486-5214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA6487
AZ
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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