Individual
KATHARINE PRUDHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2623 N 81ST WAY, SCOTTSDALE, AZ 85257-1710
(847) 875-2260
Mailing address
2623 N 81ST WAY, SCOTTSDALE, AZ 85257-1710
(847) 875-2260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11007A
AZ
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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