Individual
MRS. MICHELLE MARIE CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1559 N. LOMA VISTA ST., MESA, AZ 85213-5566
(480) 325-3881
Mailing address
1559 N. LOMA VISTA ST., MESA, AZ 85213-5566
(480) 325-3881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2913
AZ
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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