Individual
KIM K GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1020 E MISSOURI AVE, STE 1, PHOENIX, AZ 85014-2615
(602) 393-0520
(602) 393-0523
Mailing address
1020 E MISSOURI AVE, STE 1, PHOENIX, AZ 85014-2615
(602) 393-0520
(602) 393-0523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1437
AZ
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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