Individual
AMY V MCVICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7650 N 43RD AVE, GLENDALE, AZ 85301-1661
(623) 435-6000
Mailing address
2007 W EUGIE AVE, PHOENIX, AZ 85029-1615
(602) 670-1866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7126
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007140
—
AZ
Enumeration date
04/11/2007
Last updated
07/08/2007
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