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Individual

PATRICIA J AKOVENKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
220 W GOODWIN ST, STE 10-C, PRESCOTT, AZ 86303-4794
(928) 830-2611
Mailing address
220 W GOODWIN ST, STE 10-C, PRESCOTT, AZ 86303-4794
(928) 830-2611

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8696
AZ

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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