Vickie Service, PTA

NPI #1437694478 in Whiteriver, Arizona

Provider Information

NPI Number: 1437694478
Entity Type: Individual
Name: Vickie Service, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 29, 2016
Last Updated: Dec 29, 2016

Practice Location

Address: 200 W. HOSPITAL DR.
City: Whiteriver
State: Arizona
ZIP Code: 85941
Phone: (928) 338-3606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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