Individual
KARA CHRISTINE KOENITZER TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
1253 N FOX HILL RD, FLAGSTAFF, AZ 86004-7881
(928) 707-4515
(888) 701-8022
Mailing address
601 E PICCADILLY DR APT 407, FLAGSTAFF, AZ 86001-5978
(928) 707-4515
(888) 701-8022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7710
AZ
Other
Enumeration date
04/08/2008
Last updated
03/03/2021
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