Individual
KELLY MARIE DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3310 E CANARY WAY, CHANDLER, AZ 85286
(480) 813-1897
(480) 361-9838
Mailing address
3310 E CANARY WAY, CHANDLER, AZ 85286-5682
(480) 813-1897
(480) 361-9838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6132
AZ
Other
Enumeration date
11/28/2006
Last updated
08/27/2019
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