Individual
NICOLE CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
950 E RIGGS RD, SUITE 1, CHANDLER, AZ 85249-5399
(480) 802-8730
Mailing address
950 E RIGGS RD, SUITE 1, CHANDLER, AZ 85249-5399
(480) 802-8730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12272
AZ
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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