Individual
MRS. BEVERLY PISHKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1200 W ROUTE 66, FLAGSTAFF, AZ 86001-6238
(928) 556-0776
Mailing address
6178 E ABINEAU CANYON DR, FLAGSTAFF, AZ 86004-7169
(928) 714-0510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1114
AZ
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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