Individual
KATHLEEN M. ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3008 EAST BIRCH AVENUE, TUBA CITY, AZ 86045-0600
(928) 283-2659
(928) 283-2197
Mailing address
PO BOX 3398, TUBA CITY, AZ 86045-3398
(928) 283-2659
(928) 283-2197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004249
CT
225100000X
Physical Therapist
Primary
8058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524779
—
AZ
Enumeration date
02/13/2007
Last updated
01/20/2011
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