Individual
KARYN ANGULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W BASELINE RD, SUITE 140, MESA, AZ 85202-5820
(480) 820-7675
Mailing address
8114 S TAYLOR DR, TEMPE, AZ 85284-1738
(480) 491-5571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3803
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3803
LICENSE #
AZ
Enumeration date
08/30/2006
Last updated
07/08/2007
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