Individual
MS. DANA MRVICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
294 W CARLOS AVE, HOLBROOK, AZ 86025-1846
(928) 524-2123
Mailing address
PO BOX 51, KEAMS CANYON, AZ 86034-0051
(928) 738-0216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848690
—
AZ
Enumeration date
10/18/2006
Last updated
07/09/2007
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