Individual
CAROL A WEITKUNAT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2485 N GREAT WESTERN DR, SUITE F2, PRESCOTT VALLEY, AZ 86314-6528
(928) 775-2765
(928) 772-9170
Mailing address
2485 N GREAT WESTERN DR, SUITE F2, PRESCOTT VALLEY, AZ 86314-6528
(520) 249-6858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3534
AZ
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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