Individual
MS. KRISTEEN KAYE OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3205 S RURAL RD, TEMPE, AZ 85282-3853
(480) 730-7100
Mailing address
8438 E VIRGINIA AVE, SCOTTSDALE, AZ 85257-1822
(480) 945-6052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2401
AZ
225100000X
Physical Therapist
5501001650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569759
—
AZ
Enumeration date
11/06/2006
Last updated
07/09/2007
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