KENNETH VAN WYK

LAKE HAVASU CITY, AZ
NPI1326463019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  2492)
Enumeration Date2014-03-04
Last Update Date2014-03-04
Business Address
-- KENNETH VAN WYK
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406-8629
Phone number: 928-505-5552
Mailing Address
-- KENNETH VAN WYK
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406-8629
Phone number:
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