KENETH PROPHETE

PHOENIX, AZ
NPI1891271508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NJ  40QB00269100)
Enumeration Date2018-07-16
Last Update Date2018-07-16
Business Address
KENETH PROPHETE
7540 N 19TH AVE
PHOENIX, AZ 85021
Phone number: 888-543-2289
Mailing Address
KENETH PROPHETE
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: