Doctor Name: | CYNTHIA K WISSINK-GHOST |
NPI Number: | 1861745044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2688 |
Business Practice Address: | 2054 E Southern Ave Tempe, AZ - 852827515 |
Business Phone Number: | 4807551505 |
Business Fax Number: | 4807551504 |
Mailing Address: | Po Box 24858, TEMPE |
State: | AZ |
Postal Code: | 852854858 |
Phone Number: | 4807551505 |
Fax Number: | 4807551504 |
NPI Enumeration Date: | 10/24/2012 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |