Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 9694 | AZ |
NPI | 1447509708 |
---|---|
Provider Name | Ms. Annemarie Alf |
First Address | Phoenix, AZ 85050-4605 |
Second Address | Phoenix, AZ 85050-4605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2012 |
Last Update Date | 02/09/2012 |