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Individual

MRS. BARBARA ANN WHISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1499
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000R7996
NM
05
551524
AZ
Enumeration date
03/14/2006
Last updated
11/12/2021
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