Individual
NICOLETTE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT. DN
Contact information
Practice address
11209 N TATUM BLVD STE B120, PHOENIX, AZ 85028-3091
(602) 795-8441
Mailing address
11209 N TATUM BLVD STE B120, PHOENIX, AZ 85028-3091
(602) 795-8441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12057
AZ
Other
Enumeration date
02/16/2016
Last updated
07/27/2019
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