Individual
MRS. CHRISTINA ANN TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14260 S DENNY BLVD, LITCHFIELD PARK, AZ 85340-9448
(623) 537-7400
Mailing address
16903 W MARCONI AVE, SURPRISE, AZ 85388-1509
(808) 291-0656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8919A
AZ
225200000X
Physical Therapy Assistant
9794
CA
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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