Individual
LISA TENBARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(888) 873-4221
Mailing address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1850
AZ
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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