Individual
KAYLA MARIE EARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
3341 E QUEEN CREEK RD, SUITE 109, GILBERT, AZ 85297-8503
(480) 621-8361
Mailing address
3341 E QUEEN CREEK RD, SUITE 109, GILBERT, AZ 85297-8503
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9598
AZ
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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