Individual
NICOLE FRANCINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14557 W INDIAN SCHOOL RD, SUITE 500B, GOODYEAR, AZ 85395-9243
(623) 242-6908
Mailing address
1963 S 158TH AVE, GOODYEAR, AZ 85338-9418
(443) 891-3837
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11538
AZ
Other
Enumeration date
05/17/2015
Last updated
03/10/2016
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