Individual
KADEEN MANSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6345 S CEDAR SPRINGS ST, CAMP VERDE, AZ 86322
(602) 793-1215
Mailing address
PO BOX 943, CAMP VERDE, AZ 86322-0943
(602) 793-1215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
08/05/2016
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