Individual
MRS. VICKY LEE LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7000
Mailing address
4410 W DAHLIA DR, GLENDALE, AZ 85304-2138
(602) 595-2365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6185A
AZ
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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