Individual
KIMBERLY A CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(602) 324-6500
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6130
MA
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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