Individual
VICKIE SERVICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 W. HOSPITAL DR., WHITERIVER, AZ 85941
(928) 338-3606
Mailing address
200 W. HOSPITAL DR, WHITERIVER, AZ 85941-0860
(928) 338-3606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12605A
AZ
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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