Klawonn, Amisha

Klawonn, Amisha is an individual health care provider with primary practice located at 2122 E. Highland #200, Phoenix AZ 85016. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Klawonn, Amisha can be contacted via phone (623) 979-0066.

Contact Information

Primary practice address
2122 E. Highland #200 Phoenix AZ 85016
Phone: (623) 979-0066
Fax: (623) 979-0052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5353 Arizona

Profile Details

NPI number 1861499642
LBN Legal business name Klawonn, Amisha
Credentials PT, DPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861499642 NPPES
Arizona MEDICAID 575524

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