Individual
KAMRYN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5605 WEST EUGIE AVE, SUITES 212AND215, GLENDALE, AZ 85304
(480) 210-6445
Mailing address
6510 W BEHREND DR, GLENDALE, AZ 85308-7011
(209) 914-9791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LTP-033738
AZ
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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