AUSTIN R WIDICK

SURPRISE, AZ
NPI1609534205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  32088)
Enumeration Date2021-12-01
Last Update Date2021-12-13
Business Address
AUSTIN R WIDICK DPT
13967 W GRAND AVE STE 100
SURPRISE, AZ 85374-3732
Phone number: 623-474-3952
Mailing Address
AUSTIN R WIDICK DPT
15410 S MOUNTAIN PKWY STE 112
PHOENIX, AZ 85044-6691
Phone number: 480-706-1161
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