Individual
DR. KENNETH WORLANYO WUTOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CKPI
Contact information
Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-3604
Mailing address
12023 W WINDROSE DR, EL MIRAGE, AZ 85335-4323
(701) 570-4006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9016
AZ
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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