Individual
NICOLE ALEXANDRIA LARAMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6820 S KINGS RANCH RD STE 131, GOLD CANYON, AZ 85118-2959
(480) 983-8600
Mailing address
4931 E PIONEER ST, APACHE JUNCTION, AZ 85119-9581
(602) 751-6819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12496APTA
AZ
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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