Individual
MS. AUDRA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3214 W LOUISE DR, PHOENIX, AZ 85027-1627
(623) 434-4989
Mailing address
3214 W LOUISE DR, PHOENIX, AZ 85027
(623) 434-4989
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2436
AZ
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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