Individual
CYNTHIA K WISSINK-GHOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2054 E SOUTHERN AVE, TEMPE, AZ 85282-7515
(480) 755-1505
(480) 755-1504
Mailing address
PO BOX 24858, TEMPE, AZ 85285-4858
(480) 755-1505
(480) 755-1504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2688
AZ
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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