Laura Elizabeth Tietjen MPT OCS

NPI 1023061074 - Physical Therapist - 225100000X

NPI Details
NPI 1023061074
Gender Female
Enumeration Date 05/19/2006
Last Updated 10/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
20325 N 51ST AVE
STE 146
GLENDALE AZ, 85308-5674, US
Phone (623) 249-3216
Fax (623) 249-3218
Business Location
12917 W CAMPBELL AVE
LITCHFIELD PARK AZ, 85340-5183, US
Phone (253) 228-6828
Fax
Toxanomy
Taxonomy Code 225100000X
License State Arizona
License Number 6773
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According to our database, Laura Elizabeth Tietjen MPT OCS NPI is 1023061074, taxonomy code is 225100000X and license number is 6773, license state is located at Arizona. Laura Elizabeth Tietjen MPT OCS physically located at 20325 N 51st Ave, Glendale AZ, 85308-5674. NPI Number Laura Elizabeth Tietjen MPT OCS has the Individual type.

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1023061074 NPI number is provided on an as is basis without warranty of any kind. 1023061074 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Elizabeth Tietjen MPT OCS are for informational purposes only.