Individual
LINDSAY PLOEGER CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18330 N 79TH AVE APT 2034, GLENDALE, AZ 85308-8350
(801) 560-7250
Mailing address
18330 N 79TH AVE APT 2034, GLENDALE, AZ 85308-8350
(801) 560-7250
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11318A
AZ
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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