Kyle D Guidry

NPI #1194088476 in Surprise, Arizona

Provider Information

NPI Number: 1194088476
Entity Type: Organization
Organization Name: Kyle D Guidry
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 21, 2012
Last Updated: Jul 18, 2012

Practice Location

Address: 15949 N CRISTINE LN
City: Surprise
State: Arizona
ZIP Code: 85388-1292
Phone: (623) 518-2127

Authorized Official

Name: MR. KYLE DAVID GUIDRY, PT, DPT, ATC
Title: OWNER
Phone: (623) 760-6356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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