Individual
KRISTIE RENAE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0718
Mailing address
3661 N VERDUGO RD, KINGMAN, AZ 86409-3153
(928) 279-6783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9925A
AZ
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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