Individual
DANETTE K EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4520 N 12TH ST, SUITE 103, PHOENIX, AZ 85014-4233
(602) 368-8317
(602) 419-2067
Mailing address
4520 N 12TH ST, SUITE 103, PHOENIX, AZ 85014-4233
(602) 368-8317
(602) 419-2067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4232
AZ
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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