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Individual

ISAAK WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
18773 S NOGALES HWY STE 105, GREEN VALLEY, AZ 85614-0403
(520) 477-3130
(480) 885-1788
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670

Taxonomy

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

Other

Enumeration date
06/12/2023
Last updated
08/13/2024
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