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NPI Code Detail

MEDICARE: CARRIE TRAVALE

MEDICARE: CARRIE TRAVALE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist33024AZ

General Provider Information

NPI Number : 1427733492
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE TRAVALE
Provider Business Mailing Address
First Line : 2025 E CAMPBELL AVE APT 242
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-5579
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5353 N 16TH ST STE 120
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3282
Country : US
Telephone Number : 602-826-0037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 06/19/2023

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Directions to “ CARRIE TRAVALE ” Practice Location

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