Individual
ELIZABETH AYN CARMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4022 E GREENWAY RD STE 1, PHOENIX, AZ 85032-4798
(480) 719-1644
Mailing address
3101 N 36TH ST APT 201, PHOENIX, AZ 85018-6234
(650) 296-6083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014694
AZ
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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