Provider Demographics
NPI:1114697521
Name:APFELBACH, CAROLYN (DPT)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:APFELBACH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14625 S MOUNTAIN PKWY APT 2086
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-7154
Mailing Address - Country:US
Mailing Address - Phone:262-366-2610
Mailing Address - Fax:
Practice Address - Street 1:4141 W MCNEIL ST
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2597
Practice Address - Country:US
Practice Address - Phone:602-237-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-31727225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist