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Individual

DR. MICHELLE HARGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4616 N 51ST AVE, 106, PHOENIX, AZ 85031-1716
(623) 846-0992
(623) 846-0041
Mailing address
PO BOX 10837, GLENDALE, AZ 85318-0837
(623) 846-0992
(623) 846-0041

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7745
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7745
STATE LICENSE
AZ
Enumeration date
07/26/2007
Last updated
07/26/2007
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