Individual
EMILY WEVODAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1485 N TURQUOISE DR, SUITE 220, FLAGSTAFF, AZ 86001-1398
(928) 774-6626
(928) 214-3277
Mailing address
5707 N VILLA CIR, #787, FLAGSTAFF, AZ 86004-7293
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10346APTA
AZ
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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