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Individual

ROBYN LYNN WILCOXSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 396-5540
Mailing address
4220 N 58TH ST, PHOENIX, AZ 85018-4612
(480) 423-5714

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
#1532
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
356312
AHCCCS ID #
AZ
Enumeration date
01/30/2007
Last updated
06/08/2009
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