Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 3223 | AZ |
NPI | 1700328036 |
---|---|
Provider Name | Dr. Laurie-Anne S. Campbell |
First Address | Chandler, AZ 85226-3135 |
Second Address | Phoenix, AZ 85013-4419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2016 |
Last Update Date | 17/11/2016 |