Individual
MRS. MICHELLE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
(602) 393-0520
Mailing address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
(602) 393-0520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12061
AZ
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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