directory of licensed physical therapists-active · anteau jennifer 7002c 8327 n. oracle rd ......

26
Directory of Physical Therapy Board Licensees Last Name First Name License # MI Phone City St ZIP ISSUED Address Lines 1 and 2 Absmeier-Koppen Ashley 8188 A 128 Market St. 7195895149 Alamosa CO 81101 9/1/2008 Acton Mark 7387A W 7255 E. Broadway Rd 4809818844 Mesa AZ 85208 9/1/2006 Adair Sheri 6926 L 10401 W Thunderbird Ave 6238765349 Sun City AZ 85351 8/23/2005 Adams Deidra 6826 E 2222 S Dobson Rd 6029927195 Mesa AZ 85202 6/28/2005 Ainsworth Marcus 6463 A 1805 N. Scottsdale Rd. #2 480-941-4169 Tempe AZ 85281 7/27/2004 Alder Shannon 8689A L 1100 Marshall Way 5306262770347 Placerville CA 95682 10/27/2009 Alfano Pete 7214 250 International Parkway 260 205-999-4323 Lake Mary FL 32746 3/28/2006 Alfonso Noel 9712A S 3336 E. Chandler Height Rd. 4808406125 Gilbert AZ 85225 3/2/2012 Allen Heather 8328 E 545 Pineview Ln 4029807563 Pinetop AZ 85935 12/18/2008 Allison Julie 7450 L 6497 E. Wood Lily Ct. 5208858442 Tucson AZ 85750 10/24/2006 Alvarez Jose 8018 D 8685 Union Hills Dr 6234862331 Peoria AZ 85383 2/26/2008 Alves Ronald 7016A F 1640 W. Redstone Center Dr. Ste 200 8887767222 Park City UT 84098 9/27/2005 Ambler Steven 6828 B 12901 Bruce B. Downs Blvd. MDC 90 8139748613 Tampa FL 33612 6/28/2005 Anderes Michael 4206 L 350 N Wilmot Outpatient Rehab Dept 520-873-3664 Tucson AZ 85711 4/28/1998 Anderson Josiah 8459 H 6606 E. Carondelet Dr 5202968513 Tucson AZ 85710 4/28/2009 Anderson Matt 7698A H 27240 Haggerty Rd Ste E-15 8669910900 Farmington Hills MI 48331 5/22/2007 Andrade Wendy 7799 C 10401 W Thunderbird Blvd 6238765349 Sun City AZ 85351 8/30/2007 Andraka John 6927 M 11305 E Sunnyside Dr 4802620253 Scottsdale AZ 85259 8/23/2005 Andraka Kristin 6929 M 930 West Southern Avenue Suite 10 480-835-0857 Mesa AZ 85210 8/23/2005 Anspach-Rickey Janet 8435 L 30996 Old Hansville Rd NE 3606381680 Kingston WA 98346 3/24/2009 Anteau Jennifer 7002 C 8327 N. Oracle Rd 520-742-1865 Tucson AZ 85704 9/27/2005 Arcon Martha 7210A A 6601 220th Street SW Suite 1 4257757274 Mountlake Terrace WA 98043 2/28/2006 Armstrong Gretchen 8075 A 1615 S Federal Hwy, Ste 30 8008848788 Boca Raton FL 33432 4/22/2008 Arnett Amy 6032A L 536 N Dodge Blvd 5204011117 Tucson AZ 85716 2/25/2003 Arora Sheenam 7553 452 W. Aster Dr. 4803911085 Chandler AZ 85248 12/18/2006 Arotin Tabitha 7633A A 13460 N. 67 Ave 632-334-5465 Glendale AZ 85304 3/27/2007 Arsby Heidi 8650 M 4000 N Scottsdale Rd 200 4803611841 Scottsdale AZ 85251 9/22/2009 Asenuga Oluwanisho 3175 M 1 Medical Group Langley AFB 757-764-6963 Langley AFB VA 23665 4/25/1995 Aubuchon Andrew 8299 P 76 Sanders St. 4133312631 Chicopee MA 01020 11/25/2008 Austin Jesse 8094A N 2900 Charlevoix Dr SE Ste 200 8883258064 Grand Rapids MI 49546 6/24/2008 Wednesday, November 14, 2012 Page 1 of 26

Upload: phunghuong

Post on 01-Apr-2018

245 views

Category:

Documents


17 download

TRANSCRIPT

Page 1: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Directory of Physical Therapy Board LicenseesLast Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Absmeier-Koppen Ashley 8188A 128 Market St. 7195895149 Alamosa CO 81101 9/1/2008

Acton Mark 7387AW 7255 E. Broadway Rd 4809818844 Mesa AZ 85208 9/1/2006

Adair Sheri 6926L 10401 W Thunderbird Ave 6238765349 Sun City AZ 85351 8/23/2005

Adams Deidra 6826E 2222 S Dobson Rd 6029927195 Mesa AZ 85202 6/28/2005

Ainsworth Marcus 6463A 1805 N. Scottsdale Rd. #2 480-941-4169 Tempe AZ 85281 7/27/2004

Alder Shannon 8689AL 1100 Marshall Way 5306262770347 Placerville CA 95682 10/27/2009

Alfano Pete 7214 250 International Parkway 260205-999-4323 Lake Mary FL 32746 3/28/2006

Alfonso Noel 9712AS 3336 E. Chandler Height Rd. 4808406125 Gilbert AZ 85225 3/2/2012

Allen Heather 8328E 545 Pineview Ln 4029807563 Pinetop AZ 85935 12/18/2008

Allison Julie 7450L 6497 E. Wood Lily Ct. 5208858442 Tucson AZ 85750 10/24/2006

Alvarez Jose 8018D 8685 Union Hills Dr 6234862331 Peoria AZ 85383 2/26/2008

Alves Ronald 7016AF 1640 W. Redstone Center Dr. Ste 200 8887767222 Park City UT 84098 9/27/2005

Ambler Steven 6828B 12901 Bruce B. Downs Blvd. MDC 90 8139748613 Tampa FL 33612 6/28/2005

Anderes Michael 4206L 350 N Wilmot Outpatient Rehab Dept520-873-3664 Tucson AZ 85711 4/28/1998

Anderson Josiah 8459H 6606 E. Carondelet Dr 5202968513 Tucson AZ 85710 4/28/2009

Anderson Matt 7698AH 27240 Haggerty Rd Ste E-15 8669910900 Farmington Hills MI 48331 5/22/2007

Andrade Wendy 7799C 10401 W Thunderbird Blvd 6238765349 Sun City AZ 85351 8/30/2007

Andraka John 6927M 11305 E Sunnyside Dr 4802620253 Scottsdale AZ 85259 8/23/2005

Andraka Kristin 6929M 930 West Southern Avenue Suite 10480-835-0857 Mesa AZ 85210 8/23/2005

Anspach-Rickey Janet 8435L 30996 Old Hansville Rd NE 3606381680 Kingston WA 98346 3/24/2009

Anteau Jennifer 7002C 8327 N. Oracle Rd 520-742-1865 Tucson AZ 85704 9/27/2005

Arcon Martha 7210AA 6601 220th Street SW Suite 14257757274 Mountlake Terrace WA 98043 2/28/2006

Armstrong Gretchen 8075A 1615 S Federal Hwy, Ste 308008848788 Boca Raton FL 33432 4/22/2008

Arnett Amy 6032AL 536 N Dodge Blvd 5204011117 Tucson AZ 85716 2/25/2003

Arora Sheenam 7553 452 W. Aster Dr. 4803911085 Chandler AZ 85248 12/18/2006

Arotin Tabitha 7633AA 13460 N. 67 Ave 632-334-5465 Glendale AZ 85304 3/27/2007

Arsby Heidi 8650M 4000 N Scottsdale Rd 2004803611841 Scottsdale AZ 85251 9/22/2009

Asenuga Oluwanisho 3175M 1 Medical Group Langley AFB 757-764-6963 Langley AFB VA 23665 4/25/1995

Aubuchon Andrew 8299P 76 Sanders St. 4133312631 Chicopee MA 01020 11/25/2008

Austin Jesse 8094AN 2900 Charlevoix Dr SE Ste 200 8883258064 Grand Rapids MI 49546 6/24/2008

Wednesday, November 14, 2012 Page 1 of 26

Page 2: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Baadte Scott 7111A 1043 Ridge St. 9702499683 Montrose CO 81401 12/20/2005

Babbitt Aurelie 0263P 2546 E Hale St 4809698700 Mesa AZ 85213-4104 8/1/1968

Balazo-Revelo Sylvia 7080D 10020 S 80th Ct 6768496223 Palos Hills IL 60465 10/25/2005

Balderson Jane 6258K 12361 W Bola Dr. 1106235845066 Suprise AZ 85378 10/28/2003

Ball Jason 7980R 1640 Kirkwood Dr 21214802054951 Fort Collins CO 80525 1/22/2008

Ballance Melissa 9555AJ 20830 N Tatum Blvd Ste 115 4804731200 Phoenix AZ 85050 10/25/2011

Banfill Shabana 7032N 3812 Cherry Creek Lane 2488918618 Sterling Heights MI 48314 10/25/2005

Baptie Patricia 9425E 8200 Mentor Hills Dr. 4402561496 Mentor OH 44060 7/26/2011

Baptiste Melissa 9695J AZ 2/28/2012

Barba Cari 8262AJ 23559 Gingerbread Dr. 9516960807 Murrieta CA 92562 10/28/2008

Barcenas David 9829P 77 Wainwright Dr. 5095255200 Walla Walla WA 99362 6/26/2012

Barclay Jason 9081P 2 Keewaydin Dr. 8009952673 Salem NH 03079 9/28/2010

Barclay Michelle 9082L 2 Keewaydin Dr. 8009952673 Salem NY 03079 9/28/2010

Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 10/27/2009

Barlow Travis 7825B 2222 E Highland Ste 310 6029558885 Phoenix AZ 85016 9/25/2007

Barnes Dwight 8190A 5001 Statesman Dr. 4695241506 Irving TX 75063 9/1/2008

Barsamian Michelle 6102N 6644 E. Baywood Avenue 4803214816 Mesa AZ 85206 5/27/2003

Barstow Nathan 8612W 9201 W Thomas Rd Phoenix AZ 85037 7/28/2009

Barton Danielle 6520E 18275 N 59th Av Bldg K Ste 164 602-588-0320 Glendale AZ 85308 9/1/2004

Baumann John 3717S 1101 S Capital of Texas Hwy 5122759407 Austin TX 78746 10/22/1996

Beck Hollee 9263AR 3592 S Atherton Blvd 4808406777 Gilbert AZ 85297 3/22/2011

Becker Curtis 5765M 5875 S Elati St 7202831926 Littleton CO 80120 6/25/2002

Becker Maureen 6616C 2307 W Twain Court 623-551-9885 Anthem AZ 85086 11/23/2004

Belk-Arenas Katherine 5229 888 S. Craycroft Ste 150 5207210319 Tucson AZ 85711 4/12/2000

Bellefeuille Crystal 8128AL 8139 E Echo Canyon St. 4807036876 Mesa AZ 85207 7/22/2008

Bellis Julie 6284AA 6850 E Channy Ln 4805389009 Phoenix AZ 85054 11/18/2003

Belzner Dana 6715AL 13714 Plaza Del Rio 6238156123 Peoria AZ 85381 2/22/2005

Benkoske Mary 6517J 4650 W Sweetwater 6232618633 Glendale AZ 85304-1505 7/27/2004

Benson Hayley 8968L 9610 Lane Iris Place 7603821034 Littleton CO 80125 7/27/2010

Bentley Amy 6099E 5055 E Broadway Ste D 1045207471800 Tucson AZ 85711 5/27/2003

Benton Jennifer 8027M 2700 SE Stratus Ave 5034356550 McMinnville OR 97128 2/26/2008

Bernal Jamie 8838A 1650 Thompson Rd. 5412697212 Coos Bay OR 97420 2/23/2010

Bernhard Michael 5485A 303 Fleischman Way 7758857827 Carson City NV 84703 7/2/2001

Wednesday, November 14, 2012 Page 2 of 26

Page 3: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Beswick Jami 7817AL 8510 E 29th St. N 712 7856300285 Wichita KS 67226 9/25/2007

Bhatt Radhika 9269H 1400 8th Ave 8179262544 Ft Worth TX 76104 3/22/2011

Bhatt Sarah 8031R 6164 Fuller Crt 7039710602 Alexandria VA 22310 2/26/2008

Biglang-Awa Eric 7314D 1814 Franklin Ste 905 5108937463 Oakland CA 94612 7/25/2006

Binswanger Carole 1660I 195 Juniper Dr. 9282821206 Sedona AZ 86336 7/21/1988

Blakeley Richard 0307W 520 Rose Lane 9286845529 Wickenburg AZ 85390 6/6/1970

Blecke Timothy 5931P 145 Smokerim Dr 3303354200 Wadsworth OH 44281 10/22/2002

Blickhan Trisha 8371A 1305 Springdale S 5155565047 Quincy IL 623051084 1/27/2009

Blood Emily 9345K 801 W Maple 5056096154 Farmington NM 87401 6/7/2011

Bloomfield Jennifer 8697F 2900 Charlevoix Dr. SE Ste 200 8006848048 Grand Rapids MI 49546 10/27/2009

Boddie Micolene 8413K PO Box 3062 7814136103 Newport RI 02840 2/24/2009

Bohr Robert 0215AJ N 6590 Fox Ln 7158510783 Shawano WI 54166 3/15/2000

Bollum Kathleen 8992A 4840 E. Indian School Rd., Ste 103 6029562850 Phoenix AZ 85018 7/27/2010

Bonds Susanne 9346M 2 Keewaydin Dr. 8009952673 Salem NH 03079 6/7/2011

Bono Simina 6974 1640 W. Redstone Center Drive 200480-577-5800 Park City AZ 84098 9/27/2005

Bonter Tiffany 8372L 945 Mayhew Wood Drive SE 6163228091 Grand Rapids MI 49507 1/27/2009

Bordan Douglas 7257G 1111 E. McDowell Rd 6028392320 Phoenix AZ 85006 5/23/2006

Bornmann Debora 0002AK 102 Medical Dr 3615805141 Victoria TX 77904 9/17/1998

Bourassa Jerry 1370J 146 S Granite St 9284455400 Prescott AZ 86301 1/16/1986

Boutelle David 5632C 540 S Andreasen Dr. Ste C 7605917750 Escondido CA 92029 12/14/2001

Box Maile 6157A 2695 Cutters Cir #103 4802094842 Castle Rock CO 80108 7/22/2003

Boyle Kyndall 7936L PO Box 15105 9285237418 Flagstaff AZ 86011-5105 12/18/2007

Brackett Jennifer 8300E 3350 La Jolla Village Dr. 8585527487 San Diego CA 92161 11/25/2008

Breedlove Karen 2496 7661 N. Saffron Ave. 5208881970 Tucson AZ 85741 4/27/1993

Breese Aaron 6932M 4525 Weaver Pkwy Ste 310 8002239230 Warrenville IL 60555 8/23/2005

Bright Clara 0622P P O Box 1206 9286842630 Wickenburg AZ 85358 6/4/1977

Brill Amy 6833R 78 Kirraube Rd, 6024480981 Groton CT 06340 6/28/2005

Brix Mary Ruth 1922 5755 E Main St. 4802142448 Mesa AZ 85205 9/1/1990

Brooke Mary 1319C 1242 s Racetrack Rd. #100 8006591522 Tampa FL 33626 9/19/1985

Brooks Diane 8621A PO Box 1326 9286885102 Sanders AZ 86512 8/25/2009

Brooks Kathleen 0018A 10950 W Union Hills Dr #1613 6239772272 Sun City AZ 85373 10/8/1998

Brown Gregory 8404AA 550 Frontage Rd 24158474415593 Northfield IL 60093 2/24/2009

Brown Trista 7114L 1215 E Orange St 8638023800 Lakeland FL 33801 12/20/2005

Wednesday, November 14, 2012 Page 3 of 26

Page 4: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Brueshaber Jennifer 8927M 480 S Willard 9286499726 Cottonwood AZ 86326 6/22/2010

Brunette Martha 8460R 876 W Mulberry St. 3039267582 Louisville CO 80027 4/28/2009

Brunner Karen 9244AJ 7540 N 19th Ave 8888734221 Phoenix AZ 850217967 2/22/2011

Bryant Katrina 5726A 200 Ainsworth, Ste 1 9287775808 Prescott AZ 86305 3/26/2002

Budd Carrie 8780J 8055 O Street 4024348081 Lincoln NE 68317 12/22/2009

Buettner Van Hem Maurine 5099C 406 Semmes St 4433881262 Middletown RI 02842 8/24/1999

Bunselmeyer Meghan 9193S 1005 E 23rd St. Ste 200 8667842329 Fremont NE 68025 12/28/2010

Bunselmeyer Scott 9194W 1005 E 23rd St. 200 8667842329 Fremont NE 68025 12/28/2010

Burch Lisa 2994K 3650 E Pointe Cir #116 8668879990 Laughlin NV 10/27/1994

Burge Natalie 8470AJ 3201 West Commercial Blvd 1169543324451 Fort Lauderdale FL 33309 4/28/2009

Burke Kate 7649M 7555 Val Vista Drive 4807287047 Gilbert AZ 85296 4/24/2007

Burke Robert 7200C 4572 Telephone Rd. #903 8056548127 Ventura CA 93003 2/28/2006

Burr Kolleen 3542T 5300 Hwy 95 Ste J 9287883604 Ft. Mohave AZ 86420 4/30/1996

Burr Valerie 5427J 3542 E Medlock Dr 6029573864 Phoenix AZ 85018 3/2/2001

Burrer Joseph 9622AA 5001 Statesman Dr. 8007884815 Irving TX 75063 12/27/2011

Butrimas Nash 7618J 11301 corporate blvd 101352-226-2400 orlando FL 32817 3/27/2007

Campbell Marsha 6239AA 7500 N. Calle Sin Envidia 5207426242 Tucson AZ 85718 9/23/2003

Campbell Rachel 8842M 75 W Bryan Scott Pl 5173033377 Vail AZ 85641 2/23/2010

Campos Lisa 8813N One Barnes-Jewish Hospital Plaza 3143622389 St. Louis MO 63110 1/26/2010

Cantua Holladay 8436J 3300 N Paseo de los Rios #18302 8043044579 Tucson AZ 85712 3/24/2009

Canup Paul 8083A 217 S 63rd St. 101 4809810900 Mesa AZ 85206 5/22/2008

Capozzoli Ronald 7216J 1100 E Norris Dr - PT Dept 8154315230 Ottawa IL 61380 3/28/2006

Carbone Sandra 3617A 582 Erie Station Rd 5853341741 West Henrietta NY 14586 8/27/1996

Carl Robert 1793C 4100E. Broadway 6022721162 Phoenix AZ 85040 9/1/1989

Carlson William 6294AE 1812 15th St. SW 5599039149 Minot ND 58701 11/18/2003

Carpio Alejandro 8438R 46-08 88th St. 7186991256 Elmhurst NY 11373 3/24/2009

Carrell Ryan 8437P 2310 8th Ave 9284285519 Safford AZ 85546 3/24/2009

Casaccio Claudia 5119A 42nd & Dewey 4025523330 Omaha NE 68105 9/8/1999

Casari Timothy 7739J 269 S. Candy Ln. 9286396383 Cottonwood AZ 86326 7/25/2007

Castillo Samantha 7982B 1594 Via Capri #10 9493507265 Laguna Beach CA 92651 1/22/2008

Castle Tye 8505AM 775 Yellowstone Ave. #226 2082405872 Pocatello ID 83201 6/23/2009

Castuera Ma Socorro 7732M 6000 Greenwood Plaza Blvd Ste 130 Greenwood Villag CO 80111 6/26/2007

Cerget Annissa 9115G 5901 Broken Sound Pkwy Ste 500 8008758999206 Boca Raton FL 33487 9/28/2010

Wednesday, November 14, 2012 Page 4 of 26

Page 5: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Chalker Kurt 6583AB 3302 W Thomas Rd 6022330409 Phoenix AZ 85017 9/28/2004

Chandler Ashley 9173G 108 Hale St.5636 Calle Granada 2564530491 FayettevilleSierra AZ 85635 11/23/2010

Chapman Nicole 8373M 3 Alfred St. 7815726547 Houlton ME 04730 1/27/2009

Chen Judy 8330H 921 Park Manor Blvd 5857324290 Endwell NY 13760 12/18/2008

Cherney Carla 8742T 1902 Mead Ave 9204588333 Sheboygan WI 53081 11/24/2009

Chinn Scheryl 7019AR 269 S. Candy Lane. 9286396383 Cottonwood AZ 86326 9/27/2005

Chitty Jennifer 7140D 1 Dove Ave 941-928-7136 Salem MA 1970 1/23/2006

Christensen Nancy 8783C 1008 Rule Dr. 9072041215 Fort Collins CO 80525 12/22/2009

Ciana Megan 6337L 1401 Early View Dr. 5163951731 Anchorage AK 99504 1/27/2004

Cieri Carla 9091N 106 Highway 17S Ste 206 8006848048 North Myrtle Beac SC 49546 9/28/2010

Ciganovic Linda 8003A 5001 Statesman Drive 469-524-1506 Irving TX 75063 1/22/2008

Cinotto Jamie 8302E Mt Vernon ave 3124519566 bakersfield CA 93312 11/25/2008

Clark Ashley 8325AM 1791 Mesquite Ave 9288554248 Lake Havasu City AZ 86403 12/18/2008

Clark Kaitlin 9504T 1250 W Grove Parkway 2163 6029040565 Tempe AZ 85283 9/27/2011

Clarke Russell 8439L 507 N. Hwy 77 Ste 700 9729383311 Waxahachie TX 75165 3/24/2009

Claycomb Rebecca 8374M 6059 Norse 2106912782 San Antonio TX 78240 1/27/2009

Clipperton Justin 8331P PO Box 20867 7757877104 Reno NV 89515 12/18/2008

Coder Megan 8884AL 13373 Plaza del Rio Blvd 6238762496 Peoria AZ 85381 4/27/2010

Coleman Kristin 9060AE 10809 S Saginaw 8106958700 Grand Blanc MI 48439 9/28/2010

Compton-Griffith Kelsi 7858N 1400 S Dobson 4804125439 Mesa AZ 85201 10/23/2007

Comstock Janice 7238V 12947 N Bloomington Loop 5205759095 Oro Valley AZ 85755 4/25/2006

Conley-Raths Jennifer 8975K 5720 E Marilyn Rd. 5133786300 Scottsdale AZ 85254 7/27/2010

Cook Cathy 0131AK 4323 W Ardmore Rd 602-237-4577 Laveen AZ 85339 3/11/1999

Cook Diana 0337J 350 W. Thomas Rd. 6024063222 Phoenix AZ 85013 11/29/1969

Cook Mary 8654F 42 Spur Circle 4044447160 Scottsdale AZ 85251 9/22/2009

Cooper Susan 7083P AZ 11/22/2005

Cope-Randall Kelly 8814A 5012 Eastchester Drive 7862002598 Sarasota FL 34234 1/26/2010

Corey Rachel 7519K 1615 Deleware St. 3606364839 Longview WA 98632 11/21/2006

Corey Trent 7457A 852 Commerce Ave 3605013750 Longview WA 98632 10/24/2006

Correa Aisha 8225 1919 Lathrop St. Ste. 222 9074565990 Fairbanks AK 99701 9/26/2008

Cortez Nicole 9767M 483 Rockman Way 4807472054 Port Hueneme CA 93041 4/16/2012

Cosmello Christine 8644AM 635 W Wendell St. 6072220316 Endicott NY 13760 9/22/2009

Cotter Jennifer 6297E 62 Big Bear Court 602-680-8418 Medford NJ 08055 12/16/2003

Wednesday, November 14, 2012 Page 5 of 26

Page 6: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Counts Karen 0053AS 1012 Gail Gardner Way #A 9284451282 Prescott AZ 86305 11/23/1998

Courtney-Koro Selena 9378C 1755 Wittington Pl Ste 175 8662215405 Dallas TX 75234 7/5/2011

Cox Craig 8070D 14502 W Meeker Dr 623-214-4000 Surprise AZ 85375 3/25/2008

Crabtree Lindsay 9615AK 2021 N 12th St. 9702566378 Grand Junction CO 81501 11/22/2011

Crafts Chad 9751R 17431 N 71st Dr. 6237769111 Glendale AZ 85308 4/5/2012

Crandall Cheryl 6173J 30336 Hwy 200 Suite #13 2082658333 Ponderay ID 83852 7/22/2003

Crecelius Cory 9231R 13609 California St. Ste 200 Omaha NE 68154 1/25/2011

Cree Kristin 9613AL 2651 Burnt Ranch Rd. 2077121066 Prescott AZ 86305 11/22/2011

Crisci Brian 7239A 2732 Nubtkaw Ave 7022500538 Gedersib NV 89044 4/25/2006

Crockett Branden 9137R 2472 E Jasper Dr. 6026899776 Gilbert AZ 85296 10/26/2010

Cummings Dustin 7096AT 1763 S. Stream Rd. 8027795482 Bennington VT 5201 11/22/2005

Cunningham Shala 3649C 13th street 8122952812 Jasper IN 47546 8/27/1996

Curtis Stephanie 2344M 8115 E Indian School #123 4809516451 Scottsdale AZ 85250 9/29/1992

Cvitanov Natalie 8006AR 1101 South Captiol Texas Hwy 8009674667 Austin TX 78746 2/26/2008

Czech Polly 8102P 4202 E Cactus Rd. #8108 Phoenix AZ 85032 6/24/2008

Daley Katherine 8488A 3.5 Bogey Dr 9284340141 Jesup GA 31546 5/26/2009

Dalkin Monika 2054T 5501 N Oracle Rd Ste 101 5202935551 Tucson AZ 85704 5/23/1991

D'Aloisio Breanna 6995L 3721 Newell Drive 2487970787 Columbus OH 43228 9/27/2005

Darby Karen 9348M 1755 Wittington Pl Ste 800 8662215405 Dallas TX 75234 6/7/2011

Davenport James 8624M 200 SW 4th Street 5128209708 Kerens TX 75144 8/25/2009

Davies Amanda 8625L 40 Eastern Ave 8003433270 Malden MA 02148 8/25/2009

Dawson Mary 3346M 2635 N Nelson Dr 5207741428 Flagstaff AZ 86001 9/19/1995

Day Michelle 7903P 11/19/2007

De Alba Bordier Arely 8489 300 N. Waymore 9155772651 El Paso TX 79902 5/26/2009

Dean Jeffrey 8103D 1235 E. Cherokee 4178202160 Springfield MO 65802 6/24/2008

Deaton Stormy 8322AR 62531 E 252 Rd. 9187867096 Grove OK 74344 12/1/2008

DeCant Kristine 6116S 21835 Walnut Lane 2246367376 Lake Villa IL 60046 6/24/2003

DeCraene Edith 3579 26659 Pleasant Park Rd. 3036475518 Conifer CO 80433 4/30/1996

DeCrescenzo Nicole 9031 2 Empire Dr. 5182864990 Rensselaer NY 9/1/2010

DePretis Christopher 6106D 34905 7th Ave SW 6233990733 Federal Way WA 98023 6/24/2003

Devine Jeremy 8076A 1615 S Federal Hwy Ste 3008008848788 Boca Raton FL 33432 4/22/2008

DiGiovanna Vincent 8269E 21200 Kittridge St. Ate 2257 9108801098 Woodland Hills CA 91303 10/28/2008

DiNobile Kate 7942H 3 Bethesda Metro Center B001301-986-9252 Bethesda MD 20814 12/18/2007

Wednesday, November 14, 2012 Page 6 of 26

Page 7: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Dixon Alysha 8088C 461 Johnny Mercer Blvd Ste C-5 9128987714 Savannah GA 31410 5/22/2008

Dobucki Jennifer 8332L 304 28th St 301 7164453380 Virginia Beach VA 23451 12/18/2008

Dockery Connie 8875AB 434 Laurel Lake Cir 4235192664 Madisonville TN 37354 4/27/2010

Doering Catherine 8104M 11660 Holshoe Rd. 4407241264 Homerville OH 44235 6/24/2008

Domina Jason 7859M 450 S Willard St 106928-649-9726 Cottonwood AZ 86326 10/23/2007

Dominic Anthony 1879M 850 S Ironwood Rd 1044809821265 Apache Junction AZ 85120 2/22/1990

Dominick Carri 8744M 4525 Weaver Pkwy Ste 310 8002239230 Warrenville IL 60555 11/24/2009

Dorsey Robert 0377A 1002 E Florida St 5204447879 Holbrook AZ 86025 1/5/1972

DoVico Katherine 8230A 9440 Devon Ct 4802207767 Littleton CO 80126 9/26/2008

DoVico Michael 8656P 14000 E Azapahoe 7207544710 Centenntal CO 80112 9/22/2009

Drazkowski Luke 6472S 3505 Lake Lynda Dr Ste 2078778963660 Orlando FL 32817 7/27/2004

Dreckmeier Laura 7593S 5121 East Broadway Rd 480-296-2703 Mesa AZ 85206 2/6/2007

Droubay Jonathan 9304L 1380 E Medical Center Dr. 4352512276 St. George UT 84790 4/26/2011

Dubow Molly 6188S 932 Ward Ave 8083818947 Honolulu HI 86814 8/26/2003

Dworak Jessica 7945J 25 Armory St 3173311685 Newton MA 02465 12/18/2007

Eardley Vernon 3945J 101 civic center ln 5204530411 Lake Havasu City AZ 86403 7/14/1997

Eberle Carmen 3645M Suite 205 - 3320 Richter St. 2508602854 Kelowna B.C. Ca VIW4V5 8/27/1996

Edwards Heidi 7263M 1975 W Elk Ave Ste 1 4235430073 Elizabethton TN 37643 5/23/2006

Edwards Julie 6352AL 25585 Salerno Way 7146922687 Yorba Linda CA 92887 1/27/2004

Egenhoff Frank 1474C 3033 N 39th St. #9 4805936687 Phoenix AZ 85018 12/10/1986

Eggebrecht Collin 9349J 555 10th St NW 4044778888 Atlanta GA 80318 6/7/2011

Eickhoff Kevin 9021AJ 1140 Monro Ave Ste 150 6164596331 Grand Rapids MI 49503 9/1/2010

Eickhoff Lindsey 8907AR 2900 Charlevoix Dr SE 8006341077 Grand Rapids MI 49546 5/25/2010

Eldred DeAnna 7709L 8128 Orchid 3023882644 Victoria MN 55386 6/26/2007

Eleid Megan 8670E 4065 E Bell Rd. 6028670212 Phoenix AZ 85032 9/22/2009

Ellis Christopher 7409R 415 Walnut 9702489475 Grand Junction CO 81501 9/26/2006

Elms Scott 8417A 26 Senator St. 4135191169 Springfield MA 01129 2/24/2009

Emerson Douglas 7905J 355 Hudson Hill Rd. 2079446775 Hudson ME 04449 11/19/2007

Emrick Deborah 0254AA 355 Briarwood Circle #4 7349987888 Ana Arbor MI 48108-5742 10/19/2000

Endsley Adam 6142AD 2021 N 12th St. 9702566378 Grand Junction CO 81501 7/22/2003

Erickson Kathleen 7962A 1111 N. 8th st 2082392150 Pocatello ID 83201 12/18/2007

Erickson Tessa 8876AJ 3801 Lake Otis Parkway 9072126480 Anchorage AK 99508 4/27/2010

Ersson Eric 9469E 6987 S. Kimberlee Way 4805281949 Chandler AZ 85249 8/2/2011

Wednesday, November 14, 2012 Page 7 of 26

Page 8: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Esch Jamel 7947W PO Box 2380 8085863230 Honolulu HI 96760 12/18/2007

Esparza Alicia 4379B PO Box 6955 NDCBU 5757588761 Taos NM 87571 10/21/1998

Espy Melissa 7987D 8143 Moorcroft Ave 8183594104 Canoga Park CA 91304 1/22/2008

Essner Malerie 9700P 5901 Broken Sound Pkwy Ste 450 8883674042 Boca Raton FL 33487 2/28/2012

Fahrenbruch Jeffrey 2129L 10000 N 31 Ave A 1026028660066 Phoenix AZ 85051 9/12/1991

Fairweather Corinne 8377M 7 Trinity Dr. 5084782444 Milford MA 01757 1/27/2009

Fall Adam 7833C One Widger Rd. 6038934515 Marblehead MA 01945 9/25/2007

Fall Talbot 7872R 600 W. Cummings Parkway 7819396900 Woburn MA 85251-1234 10/23/2007

Farley Becky 1913G PO Box 245051 5206268773 Tucson AZ 85724-5051 6/28/1990

Farnsworth-Martin Pamela 3716J 1007 E Fourtheenth St. 6122385101 Minneapolis MN 55404 8/27/1996

Faska Lisa 2947M 421 Camelot Drive 920-923-7940 Fond du lac WI 54935 8/30/1994

Feldt Jennifer 6382L 4213 Ponderosa Ave NE 5057956860 Albuquerque NM 87110 3/23/2004

Felege Caralynn 8747A 64 Danbury Rd. 8002780332 Wilton CT 06897 11/24/2009

Feliksa Nicole 4069L 9243 E Princess Dr. 4806999716 Mesa AZ 85207 10/27/1997

Felke Caf Erin 7741E 18814 N 16th Pl 6023124805 Phoenix AZ 85024 7/25/2007

Fern George 7201A 3-3420 Kuhio Highway 8082451802 Lihue HI 96766 2/28/2006

Fernandez Jose 8461A 1755 Wittington Pl #800 9153731149 Dallas TX 75234 4/28/2009

Fernando Julie 1434A 4320 N Rillito Creek Pl 5208824007 Tucson AZ 85719- 8/28/1986

Ferrara Alison 6722A 6960 East Broadway 4808079000 Mesa AZ 85208 2/22/2005

Ferrazzi Leah 0205N 2173 E Loma Vista Dr 4808296619 Tempe AZ 85282 6/30/1966

Fitterer Molly 9175E 801 E Sioux Ave 6052243162 Pierce SD 57501 11/23/2010

Fleck Amelia 8047A 13609 California St Ste 200 8004565857 Omaha NE 68154 3/25/2008

Fleming Scott 2131P 10235 S 51st St. Ste 170 4808893206 Phoenix AZ 85044 9/12/1991

Flocker Jeffrey 5026I 309 E Harvard Ave 4803903183 Gilbert AZ 85234 6/10/1999

Ford Lisa 4496R 6060 N Fountain Plaza Dr #150 5208774070 Tucson AZ 85704 3/23/1999

Foster Stephanie 8193A 6644 E Baywood 4803214240 Mesa AZ 85206 9/1/2008

Fox Sarah 8522A 224 W Pleasant Run Rd. Cedar Hill TX 75165 6/23/2009

Foxwell Shoshana 2614E 1303 NE Cushing Ste 230 5413827875 Bend OR 97701 9/14/1993

Fredenburg Kevin 7743G 8115 E Indian Bend Suite 1234809516451 Scottsdale AZ 85250 7/25/2007

Fredenburg Michelle 7745N 4600 Middleton Park Circle East 9048076180 Jacksonville FL 32224 7/25/2007

Frieser Randolph 5380P 205 W. Wacker Drive Suite 10203126400329 Chicago IL 60606 11/20/2000

Frisch Daniel 7920AE 455 South 4th St. 5412667005 Coos Bay OR 97420 11/19/2007

Froberg Lisa 8333M 11853 T Road 9066303614 Rapid River MI 49878 12/18/2008

Wednesday, November 14, 2012 Page 8 of 26

Page 9: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Frost Martina 0006A 6080 N La Cholla Blvd #200 5207978550 Tucson AZ 85741 9/23/1998

Fullmer Chad 8863B 479 E 1400 N 8014264905 Orem UT 84057 3/23/2010

Fullmer Thomas 3688E 901 E. Jefferson 6022562281 Phoenix AZ 85034 8/27/1996

Fung Dennis 8379S 201 27th Ave 7189462271 Brooklyn NY 11214 1/27/2009

Gallagher Colette 8657K 1640 W. Redstone Ctr. Dr. 2008473081273 Park City UT 84098 9/22/2009

Gallagher Shawn 8263AP c/o Austin Carlise 17500 N 67th Ave 1061 8103583294 Glendale AZ 85308 10/28/2008

Gannon Elizabeth 8701C 1640 W Redstone Center Dr. Ste 200 4357767203 Park City UT 84098 10/27/2009

Gasowski Karli 5007S 3425 Asian Bluffs Pkwy 105 7192656601 Colorado Springs CO 80918 4/9/1999

Gavin Katieanne 8816 4 York Pl 5167614881 Merrick NY 11566 1/26/2010

Gengler Robert 4267N 4001 Dale St. Suite 1019072730559 Anchorage AK 99508 7/28/1998

Gentili Julian 7687 5150 N 16th Ste A224 6027452900 Phoenix AZ 85016 5/22/2007

Gerra Jessica 7949A 1640 W. Redstone Center Dr. #200 8888008744 Park City UT 84098 12/18/2007

Gibson Gary 8233E 27240 Haggerty Rd., Ste E-15 8669910900 Farmington Hills MI 48331 9/26/2008

Gibson Ginger 8234S 38350 Haggerty Rd. Ste E-15 8669910900 Farmington Hills MI 48331 9/26/2008

Giem Dawna 5984L 222 Acacia Street 7074212095 Fairfield CA 94533 1/28/2003

Giguere Anna 8155E 655 S Dobson Rd. #B-111 4807320099 Chandler AZ 85224 7/22/2008

Gilbert Coryleen 6556B 35 Technology Parkway S Ste 150 8884167949 Norcross GA 30092 9/28/2004

Gillie Laura 7656A 6400 E. El Dorado Circle Ste 120 520-731-1333 Tucson AZ 85715 4/24/2007

Gillie Tupper 7657D 355 N Wilmot Rd. 5205844590 Tucson AZ 85711 4/24/2007

Girard Ann 9199P 2510 N Chippewa Rd. 9288486995 Chino Valley AZ 86323 12/28/2010

Girard Paul 3548 #205-3320 Richer St. 2508602854 Kelowna B.C. Ca VIW4V5 4/30/1996

Gogan Michelle 8749R 2900 Charlevoix Dr. SE Ste 200 8006341077 Grand Rapids MI 49546 11/24/2009

Gold Cindi 3095A 6200 N. La Cholla Blvd. 520-579-0021 Tucson AZ 85741 1/24/1995

Goldstein Barbara 9632L 3000 Northwoods Pkwy Ste 105 8665181750 Norcross GA 30071 12/27/2011

Gonzalez Sonia 0372 8607 N. 59th Ave. Ste C7-C9 6022915860 Glendale AZ 85027 4/20/1972

Goodwin Laurie 8732AD 5300 S. Highway 95 9287882273 Fort Mohave AZ 86426 11/24/2009

Goplin Joel 7203 5301 W Lincoln Ave 4146157200 West Allis WI 53219 2/28/2006

Gorham Dante 8849L 4050 East Bluefield Avenue 4802064007 Phoenix AZ 85032 2/24/2010

Gould Barbara 0128B 251 W Tainter Dr. 6239351052 Litchfield Park AZ 85340 10/1/1961

Goulding Brandi-Elle 9183 2900 Charlevoix Dr. SE Ste 200 8006341077 Grand Rapids MI 49546 11/24/2010

Grabow Kathleen 8049J 2900 Charleroix Dr. SE Ste 200 8003251326 Grand Rapids MI 49546 3/25/2008

Graff Teresa 6594N 4232 E Cactus Rd Ste 110 602-996-9949 Phoenix AZ 85032 10/26/2004

Graffagnino Mary Ann 6241 350 N. Wilmot Rd 5202183152 Tucson AZ 85711 9/23/2003

Wednesday, November 14, 2012 Page 9 of 26

Page 10: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Graul Kasi 7948E 300 Pasture Dr. Rm 3124 Mc5284 Stanford CA 94305 12/18/2007

Green R. Lauren 5832 6246 E Pima 160512-351-1155 Tucson AZ 85712 7/22/2002

Green Stefanie 9201J 6358 Edgemere 9155628525 El Paso TX 79925 12/28/2010

Green Tara 7679AL 13609 California St. Ste 200 8004565857 Omaha NE 68154 4/24/2007

Greenwald Elizabeth 6840E 333 Guadalupe 2/510 5123056900 Austin TX 78701 6/28/2005

Gregg Ulrica 7488AM 13460 N. 67th Ave. 6238788800 Glendale AZ 85304 10/24/2006

Gregor Neil 8273F 7060 Valley Forge Dr. 5209713553 Gilroy CA 95020 10/28/2008

Gum Juliette 7838A 2900 Charlevoix Dr SE Ste 200 8006341077 Grand Rapids MI 49546 9/25/2007

Haag Jennifer 8382A 3602 W Southwood Dr. 4145597842 Franklin WI 53132 1/27/2009

Hagener Kirstin 8579M 2650 N. Wyatt Drive 5203251300 Tucson AZ 85712 7/28/2009

Haggerty Laurie 8818J PO Box 1620 6035692729 Wolfeboro NH 03894 1/26/2010

Haggstrom Ingrid 5102N 1585 Perry Worth Road 7654826391 Lebanon IN 46052 8/24/1999

Halen Joan 3239A 2740 Player Avenue 5205085042 Sierra Vista AZ 85650-5208 8/22/1995

Hall Natalie 9565A 333 1st St. N Ste 200 8665815038 Jacksonville FL 32250 10/25/2011

Hamirani Almira 8580 1400 NW 12th Ave 3053255511 Miami FL 33136 7/28/2009

Hammond Frances 1416S 1640 Palmcroft Drive SW 6022527523 Phoenix AZ 85007 5/29/1986

Hamner Jennifer 5803J 7219 W Fleetwood Ln 4802361946 Glendale AZ 85303 7/22/2002

Hardern Lori 7489AM 5121 E. Broadway St. 4808325555 Mesa AZ 85206 10/24/2006

Harmeling Thomas 0085AE 1810 Minnesota Blvd S.E. 3202298300 St. Cloud MN 56304 12/29/1998

Harris Janet 7746R 1820 E River Rd D-100520-498-2288 Tucson AZ 85718 7/25/2007

Harrison Elizabeth 0154AM 45 Pony Lane 908-806-8999 Flemington NJ 08822 4/27/1999

Harvey Tracy 9036J 2601 Holme Ave 2153356114 Philadelphia PA 19152 9/1/2010

Hauser Nancy 4016E 1931 N Calle del Suerte 520743-8345 Tucson AZ 85745-7571 9/23/1997

Hawley Nicolas 9511L 6528 Bradshaw Street 9136342891 Shawnee KS 66216 9/27/2011

Hay Dorene 7921AB 479 W 1400 North 8014264905 Orem UT 84057 11/19/2007

Hayes Andrew 9051C 14502 W Meeker Blvd 6232144000 Sun City West AZ 85012 9/1/2010

Healey Kathleen 3865A 512 West County Road 706-646-5378 Thomaston GA 30286 3/25/1997

Heidel Cathy 8443L 723 Monroe St. 2319468177 Traverse City MI 49684 3/24/2009

Helton Danielle 7782A 1005 E 23rd St Ste 200 8667842329 Fremont NE 68025 8/14/2007

Hemmerich Cathy 6939J 1310 S Country Club 4802121600 Mesa AZ 85210 8/23/2005

Henderson-Artip Anne 0162AM 2573 Vireo Court 4106950463 Odenton MD 21113 5/25/1999

Hernandez Joanna 8334 1100 Commerce Dr. Suite 114 2628863431 Racine WI 53406 12/18/2008

Hernandez Luisa 8182AM 7th MDG, 200 Louisiana Dr 3256965451 Abilene TX 79607 9/1/2008

Wednesday, November 14, 2012 Page 10 of 26

Page 11: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Hernandez Shane 6424T 3336 E Chandler Heights Ste 126 4808406125 Gilbert AZ 85298 5/25/2004

Hess Dahlon 8218AM 1132 E polston Ave. 2087777800 Post Falls ID 83854 9/26/2008

Hill James 9799AW 8764 E Plata Ave 4809805524 Mesa AZ 85212 5/14/2012

Hinchliffe Leah 9176C 1355 Florence Blvd Casa Grande AZ 85122 11/23/2010

Hobbs Kristin 5072M 1903 E Grandview St 480835-2314 Mesa AZ 85203 7/14/1999

Hoblet Michael 7964AH 325 N St. Paul, Ste 4200 5133263007 Dallas TX 75201 12/18/2007

Hodgson Daniel 8785W 400 International Parkway7 Ste 300 8008066026 Lake Mary FL 32746 12/22/2009

Hoeck Rebecca 1836P 12081 Bay Oaks Court 3038089807 Parker CO 80138 12/7/1989

Hoegh James 8843E 333 N 11th St. 5702746587 Sunbury PA 17801 2/23/2010

Holloway Kristan 6373L 2280 Trawood 915-595-3535 El Paso TX 79935 2/24/2004

Holm Jefferson 9343W 2011 Termon Ave 4802281365 Pittsburgh PA 15212 5/31/2011

Holmes Milini 8238K 5777 E. Mayo Blvd 4803421869 Scottsdale AZ 85054 9/26/2008

Honkonen Joanne 5690A 150 La Canada 5203523012 Green Valley AZ 85614 2/26/2002

Horner-Wright Gretchen 8442 63 Dimick St., Apt 2 6177217201 Somerville MA 02143 3/24/2009

Horstman Eric 8632L 15015 W. Bell Road 6234338856 Surprise AZ 85374 8/25/2009

Howard Sharon 8584G 6885 W. 91st Ct. #19-302 8013725866 Westminster CO 80021 7/28/2009

Howlett Charles 8052F 6415 N Monroe St. 5093274867 Spokane WA 99208 3/25/2008

Hoyng Stacy 7501M 2120 Airway Ave. 9287571211 Kingman AZ 86409 11/21/2006

Hozhabri Siamack 5821 8380 Warren Pkwy #5022146188075 Frisco TX 75034 7/22/2002

Huber Marjorie 0266L 9799 Saddleback Dr 9286927831 Kingman AZ 86401-9400 1/13/1969

Hudson Andrea 8472AM 9004 Woodrun Rd. 8504546875 Pensacola FL 32514 4/28/2009

Humphrey Matthew 9334T 421 Liberty St. 5853223565 Warsaw NY 14569 5/24/2011

Hunter Justin 9371AS 5901 Broken Sound Pkwy Ste 450 5613144524 Boca Raton FL 33487 7/5/2011

Hurst Lawrence 2232H 1111 W Hobsonway 7609228400 Blythe CA 92225 2/18/1992

Hutchison Nancy 8383L 30756 N. Saddlebag Ln 8144371030 Queen Creek AZ 85243 1/27/2009

Hutchison-Blooms Heather 0040AM 7088 Breezeway Lane 9285371002 Show Low AZ 85901 11/3/1998

Hyde Christopher 8264AL 5121 E Broadway Rd. 4808325555 Mesa AZ 85206 10/28/2008

Ibarra Raymond 7512J 7310 S Alton Way #6L 3037904495 Englewood CO 80012 11/21/2006

Igwe Benjamin 9177C 64 Danbury Rd. 8002780332 Wilton CT 06897 11/23/2010

Incledon Lori 6046AA 7900 NW 85th Ave 9545603748 Tamarac FL 33321 3/25/2003

Interrante Celeste 7097AK 1919 W Medical St 5202978311 Tucson AZ 85704 11/22/2005

Ireland Lana 8706M 2908 5th St. 6057191100 Rapid City SD 57701 10/27/2009

Irwin Marsha 0590D PO Box 245134 1501 North Campbell Ave5206946341 Tucson AZ 85724-5134 11/16/1976

Wednesday, November 14, 2012 Page 11 of 26

Page 12: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Ivy Jerry 9273C PO Box 355 5414264870 Enterprise OR 97828 3/22/2011

Jackson Cheriesse 7813V 10550 Park Run Dr. 702-515-6200 Las Vegas NV 89144 8/30/2007

Jackson Corey 9520E 5535 S Williamson Blvd Ste 774 8003307711 Port Orange FL 32128 9/27/2011

Jackson Katie 9507M 5535 S Williamson Blvd Ste 774 8003307711 Port Orange FL 32128 9/27/2011

Jak Martha 6082 7540 North 19th Avenue 2008882662686 Phoenix AZ 85021 5/27/2003

Janitz Karl 8585M 520 S Mustang Rd. 4059365960 Yukon OK 7309 7/28/2009

Jaramillo Juan 8664C 1493 W Mesquite Ave 4809823433 Apache Junction AZ 85120 9/22/2009

Jaramillo Stacy 8661L 11111 N Scottsdale Road 1254805968772 Scottsdale AZ 85254 9/22/2009

Jensen Monica 6788M 18156 E. Weaver Ave. 3039978148 Aurora CO 80016 4/22/2005

Jeremiah Darling Katherine 5277 350 N Wilmot Rd 5208735880 Tucson AZ 85711 7/12/2000

Jerman Lindsay 8337M 1728 Cheryl 7853174734 Wichita KS 67212 12/18/2008

Jiles Jeffrey 8276R 1755 Wittington Pl #800 8012265343 Dallas TX 75234 10/28/2008

Johnson Bringa 7603M 333 First Street North 2009042419231 Jacksonville Beac FL 32250 2/27/2007

Johnson Clark 9307G 1640 W Redstone Center Dr Suite 200 Park City UT 84098 4/26/2011

Johnson Gary 7363B 500 E Veterans Way 4802721440 Tempe AZ 85287 9/1/2006

Johnson Joseph 8986R 1380 Castle Dome Ave., Ste. 107 9283411300 Yuma AZ 85365 7/27/2010

Johnson Krystle 8987C 1380 S. Castle Dome Ave., Ste 107 9283411300 Yuma AZ 85365 7/27/2010

Jones Donna 2169G 4056 Cherry Tree Blvd 5208551379 Lake Havasu City AZ 86406 10/24/1991

Jonte Daniel 8709J 340 S 33rd St. 9186811292 Muskogee OK 74401 10/27/2009

Jonte Jennifer 8708J 340 S 33rd St. 9186811292 Muskagee OK 74401 10/27/2009

Jurgensen Amy 7866K PO Box 47877 4807200000 Olympia WA 985047877 10/23/2007

Kahle David 6595J 1211 24th St. 3602991302 Anacortes WA 98221 10/26/2004

Kaliski Shari 7867L 163 Main St. 4017824049 Wakefield RI 02879 10/23/2007

Kaminska Michael 9256J 2245 West State ST 7163731910 Ocean NY 14760 2/22/2011

Kane Margaret 7950A 12/18/2007

Karlsson Hans 5242A 3624 W. Anthem Way C-106 6235515121 Anthem AZ 85086 5/11/2000

Karr Christa 5824AC 2999 New Center Point 7193655842 Colorado Springs CO 80922 7/22/2002

Kast Jennifer 8386S 500 N. Indiana Ave. 9282896239 Winslow AZ 86047 1/27/2009

Kayn Janice 2765D 1609 Idylwild Dr. 9284452914 Prescott AZ 86305 3/29/1994

Kaz Debbie 9126AL 2801 Atlantic Ave 5629332000 Long Beach CA 90804 10/26/2010

Kelleher Jean 4411S PO Box 12462 5202697262 Tucson AZ 85732 11/6/1998

Keller Leon 8988D 1204 Hwy 60 5758358343 Socorro NM 87801 7/27/2010

Kelly Nancy 7138AJ 4821-1 E Hazel Dr 6022061704 Phoenix AZ 85044 1/23/2006

Wednesday, November 14, 2012 Page 12 of 26

Page 13: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Kelly Shauna 9567 15-44 147th St. 3479923637 Whitestone NY 11357 10/25/2011

Kennedy Angela 3145 54 Barker Court 5305662508 Chico CA 95928 2/28/1995

Kenny Monica 3887C 10689 N 99th Ave 6028895308 Peoria AZ 85345 4/29/1997

Kessler David 8217AA PO Box 19036 7758532697 Reno NV 89511 9/26/2008

Kevern April 8529B P.O. Box 70331 5419146121 Eugene OR 97401 6/23/2009

Kevern Mark 8530A 1460 G Street 5417264400 Springfield OR 97477 6/23/2009

Khrakovskaya Veronika 9204 15047 Los Gatos Blvd 6083586506 Los Gatos CA 95032 12/28/2010

Kiel Jennifer 0207AJ 5249 Iroquois 8087441837 Ewa Beach HI 96706 12/28/1999

Kilpatrick Jaime 7639AS 2060 43rd St. SE 6162333590 Kentwood MI 49508 3/27/2007

Kim Janis 7325J 5235 W. Galewood Ave. 5206098167 Chicago IL 60639 7/25/2006

Kimoto Kristen 8633M 9917 N. 95th St. 4803141553 Scottsdale AZ 85258 8/25/2009

Kinder Marjorie 3470L 10235 S 51st St 6028822888 Phoenix AZ 85044 1/23/1996

King Jared 9390R 3293 N Drinkwater Blvd 4809477443 Scottsdale AZ 85251 7/5/2011

Kinney Elissa 8787M 914 S Scheuber Rd. 3603308720 Centralia WA 98531 12/22/2009

Kish Erica 7806L PO Box 100 9288712822 St. Michaels AZ 86511 8/30/2007

Kitamura Taryn 9363H 44-132 Nanamoana St. 8082470940 Kaneohe HI 96744 6/27/2011

Knight Ryan 8338C 3700 Woods Ave 4026012984 Lincoln NE 68510 12/18/2008

Knippenberg Caleb 8159E 730 S Broad Street 2158559871 Lansdale PA 19446 7/22/2008

Knippenberg Danielle 8170C 700 Main Street 2676635423 Lansdale PA 19446 7/22/2008

Knott Celeste 8588V 1930 E Southern Ave Tempe AZ 85282 7/28/2009

Kobs Mary-Beth 3154H 8489 Madison Ave 2068424714 Bainbridge Island WA 98110 3/28/1995

Kocher Katie 7748L 1948 Mesquite Ave #101 9288544776 Lake Havasu City AZ 86403 7/25/2007

Koester Paula 9223AK 6720 E Encanto St. 91 2533636949 Mesa AZ 85205 1/25/2011

Kongshaug Rachel 6196L 1334 E Mitchell Dr 6026357726 Phoenix AZ 85014 8/26/2003

Korey Melissa 5870R 4554 E Inverness Ste C1 4809266309 Mesa AZ 85206 9/1/2002

Kosior Kenneth 7223A 2 Enterprise Dr. 204203-255-8888 Shelton CT 6484 3/28/2006

Kostrewa James 4204H 30845 North Cave Creek Road Suite 1014803429547 Cave Creek AZ 85331 4/20/1998

Kowatch Deborah 8634A 535 Renee Dr. 7246897177 Latrobe PA 15650 8/25/2009

Kurczewski Matthew 9636J 11133 O St 8002599897 Omaha NE 68137 12/27/2011

Kuskin Donald 3965J 1 Hoag drive 9497644624 Newport Beach CA 92663 8/19/1997

Labor Regina 7024AA 35 Technology Parkway South, Ste. 150 8884167949 Norcross GA 30092 9/27/2005

Lacko Joseph 8821J 2 Keewaydin Dr. 6038934515 Salem NH 03079 1/26/2010

Lam Jennifer 7294 5005 Cypress Palms Ln 6233414493 Tampa FL 33647 6/27/2006

Wednesday, November 14, 2012 Page 13 of 26

Page 14: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Landram Sadie 9392N 3295 34th St. 64 9708676544 Boulder CO 80301 7/5/2011

Latham Karen 7125L 3212 Loma Vista Rd 8056489980 Ventura CA 93003 12/20/2005

Lauchman Jenelle 6372D 8925 W. Russell Rd #140 7029146787 Las Veags NV 86148 2/24/2004

Lauffer Peter 6335J 9301 E Shea Blvd 4803233871 Scottsdale AZ 85260 1/27/2004

Layne Kathi 8445E 438 Pachero Ave 8314263055 Santa Cruz CA 95062 3/24/2009

Leatherman Joshua 9101D 237 White Street 9105772372 Jacksonville NC 28546 9/28/2010

Lebedies Daniel 6823AS 9003 E. Shea Blvd 4803233871 Scottsdale AZ 85260 6/28/2005

Lee Angelina 2606K P O. Box 79 0433784637 Queens Town Tas 7467 9/15/1993

Lee Cory 8909AB 7213 Siwell Rd. 6013979191 Byram MS 39272 5/25/2010

Lee Janet 9414S 25117 SW Parkway Ste.D 5034228481 Wilsonville OR 97070 7/19/2011

Lee Julie 7541F 11571 E Ranch Gate Rd 3035657245 Scottsdale AZ 85255 12/18/2006

LeMaitre Pierre 0347L 5801 Acacia Circle 9153097447 El Paso TX 79912 8/7/1971

Leon Alyssa 5925L 3926 Tamarack Rd. 6023613133 Bellingham WA 98226 10/22/2002

Leonard Dawn 9479AR 725 E Orchid 7023011747 Gilbert AZ 85296 8/30/2011

Lepere Jennifer 8456M 7284 Edenwood Court 9053573788 Niagra Falls ON L CA 3/24/2009

Levene John 8641A 2455 N 123th St. 2624424273 Brookfield WI 53005 8/25/2009

Lindgren Coleen 2484K 13373 Plaza del Rio Blvd 6238156123 Peoria AZ 85381 3/30/1993

Lindner Diane 6484M 1800 E Lambert Rd. Ste 220 7142565074 Brea CA 92821 7/27/2004

Little Traci 6789M 1240 Hoffman Mill Rd 3365387508 Burlington NC 27216 4/22/2005

Livings Douglas 7365B 210 North University Drive 4029543445220 Coral Springs FL 33071 9/1/2006

Lodermeier Kate 7753M 200 1st St SW 5072842511 Rochester MN 55905 7/25/2007

Love James 5180M 7216 US HWY 301 941-721-9100 Ellenton FL 34222 11/30/1999

Lovejoy Christopher 8823B 11931 Plaza Dr. 8433574039 Murrells Inlet SC 29576 1/26/2010

Lowe Ellen 0668L 700 Windy Point Dr. 7605913012 San Marcos CA 92069 1/30/1978

Lowney Stephanie 8533 5749 E Grove Circle 4802408796 Mesa AZ 85206 6/23/2009

Lucas Rosemary 8308 345 S. Virginia St. # 9 7045628222 Prescott AZ 86303 11/25/2008

Lumpkin Kenya 8758M 14239 w Bell Rd Suite 219 Surprise AZ 85374 11/24/2009

Lunsford Crystal 7164D 20715 E Ocotillo Rd Ste 103 480-888-1558 Queen Creek AZ 85242 1/23/2006

Luscinski Jean 0116AV 235 Atlantic Ave 8772032315 Shreveport LA 71105 1/27/1999

Lynch Chelsea 9389E 15421 You Bet Rd 5038677229 Grass Valley CA 95945 7/5/2011

Lynch Peter 9393A 15421 You Bet Road 7078456787 Grass Valley CA 95945 7/5/2011

MacDonald Jillian 8112R P.O. Drawer PH 9286747223 Chinle AZ 86503 6/24/2008

MacNally Amanda 7448D 5001 Statesman Dr. 866-756-0002 Irving TX 75063 9/26/2006

Wednesday, November 14, 2012 Page 14 of 26

Page 15: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Madison Tiffany 8667L 350 W Thomas Rd. #3 6024066800 Phoenix AZ 85013 9/22/2009

Madonia Lisa 2922M 16103 E Balsam Dr 4808372470 Fountain Hills AZ 85268-9223 8/30/1994

Maggard Deborah 0763 7739 E. Pima St. 5202966867 Tucson AZ 85715-4538 6/22/1979

Magovich Margaret 8668M 2900 Charlevoix Dr. SE Ste 200 7165530521 Grand Rapids MI 49546 9/22/2009

Magri Francesca 8593R 3624 Market Street 2153495585 Philadelphia PA 19104 7/28/2009

Majestic Lori 8026J 940 N Switzer Canyon Ste 102 9287795111 Flagstaff AZ 86004 2/26/2008

Manz Mary 7582AV 2900 Charlevoix Dr Ste 200 6169755000 Grand Rapids MI 49546 1/23/2007

Marcheschi Jack 9309A 1101 Weaver Dairy Rd. 9192181597 Chapel Hill NC 27514 4/26/2011

Marcoccia Brooke 7133AD 2900 Charlevoix Dr. Ste 200 8006848048 Grand Rapids MI 49546 12/20/2005

Martin Rebecca 8120A 901 West 24th Street 9287265000 Yuma AZ 85364 6/24/2008

Martz William 1484D 5211 N. Salida Del Sol drive 520-615-4751 Tucson AZ 85718 5/25/2004

Marzetta Ryan 7783V 825 W Mingus 9286393068 Cottonwood AZ 86326 8/14/2007

Mascarenas Jeremy 5819 7707 W Deer Valley Rd 100623-376-9100 Scottsdale AZ 85254 7/22/2002

Massey Kevin 8084AJ 1 Jarrett White Rd 8084333282 Honolulu HI 96819 5/22/2008

Matsuura Scott 6438T 350 Bollinger Canyon Ln. Ste A 9257356414 San Ramon CA 94583 5/25/2004

Matthijs Omer 3648C Metistz Stuttghart Dfoggo Ger 8/27/1996

Mattson Andrea 5653AA 7900 Constitution Av NE 5052965565 Albuquerque NM 87110 12/21/2001

Mattson-Bell Melodie 7784M 9284439331 AZ 8/14/2007

Maxwell Lynda 8309A 12809 Teaberry Rd. 3019462684 Silver Spring MD 20906 11/25/2008

Mayer Allyson 8790J 64 Danbury Rd 8002780332 Wilton CT 06897 12/22/2009

Mazzitello Anthony 7492AF 7540 N 19th Ave 8888734221 Phoenix AZ 85021 10/24/2006

McCarthy Megan 8536E 810 E. 23rd St. 6059776845 Sioux Falls SD 57105 6/23/2009

McCarthy Rachel 8199E 35 Stonewall Way 2073180778 Westbrook ME 04092 9/1/2008

McCord Kristin 7909M 1005 E 23rd St. #2004029708001 Fremont NE 68025 11/19/2007

McCormack Edward 7089J 7000 W. Camino Real 240 5617892046 Boca Raton FL 33433 11/22/2005

McDonough Brian 8671J 19770 Kingsland Blvd 300 2815787300 Houston TX 77094 9/22/2009

McDonough Julia 8676M 400 International Pkwy #300 8009549645 Lake Mary FL 32746 9/22/2009

McElroy Kimberly 5182K 2506 Farleigh Ln. 5125025327 Cedar Park TX 78613 11/30/1999

McFarling Erin 9336M 1001 Johnson's Ferry Rd. 4047858276 Atlanta GA 30342 5/24/2011

McGarrigle Joseph 8340P 216 Walters Ave 4843369253 Wernersville PA 19565 12/18/2008

McGarry Susan 9441T 350 N Wilmot Rd 5208735280 Tucson AZ 85711 7/26/2011

McGill Virginia 5552E 3200 Providence Dr. 9072123073 Anchorage AK 99508 8/29/2001

McGrath Sherry 0127AL 1791 Greenfield DR 9284865285 El Cajon CA 92021 3/5/1999

Wednesday, November 14, 2012 Page 15 of 26

Page 16: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2McGurl Ashley 8995N 2900 Charlevoix Dr. SE Ste 200 8006848048 Grand Rapids MI 49546 7/27/2010

McKernan John 1415G 3075 Leawood Loop 5208039396 Sierra Vista AZ 85650 5/29/1986

McMains Terri 2235A 1420 Ocotillo Dr., Ste. D 7605541244 El Centro CA 92243 2/18/1992

McMurrich Karen-Lee 7022A 9540 Telegraph Rd. #21 8056470772 Ventura CA 93004 9/27/2005

McNeff Betty 5087M 12220 Bruce B Downs Blvd 8136315022 Tampa FL 33612 8/16/1999

McQueeney Sean 6629M 15707 N. 83rd Ave. 6237764854 Peoria AZ 85382 11/23/2004

McStay Heather 0185AL 14101 E Evans Ave 3037512000 Aurora CO 80014 8/24/1999

Meacham Derek 2286W 16352 Cantara St 8183752059 Panarama City CA 91401 1/4/2005

Means Stephenie 8597J 508 Stocktrail Ave. PO Box 30113076888000 Gillette WY 82716 7/28/2009

Meath Katie 8996L 13460 N. 67th Ave. 6238788800 Glendale AZ 85304 7/27/2010

Medoff Lynn 2595E 1428 N. Mariposa Rd. 9285278601 Flagstaff AZ 86001 9/14/1993

Melocheck Michael 8775AG 64 Danbury Rd. 8002780332 Wilton CT 06897 12/22/2009

Mendenhall Wendell 2343B 44 E Red Pine Dr 8017567061 Alpine UT 84004 9/29/1992

Menges Micah 9395J 16028 N 4th Ave 5074591035 Phoenix AZ 85023 7/5/2011

Merchant Rajanikant 0765D 14425 S. Canyon Dr. 4807049693 Phoenix AZ 85048 6/22/1979

Mercure Norris 5107D 814 S. 19th St 712542-4596 Clarinda IA 51632 8/24/1999

Michael Whitney 7965AT 330 S. Pinnule Circle 4803254254 Mesa AZ 85206 12/18/2007

Milgroom Regina 6388F 1750 W. Frye Rd. 480-899-0641 Chandler AZ 85224 3/23/2004

Millage Beth 6259A Park Place West Ste 210 6465 Wayzata Blvd St Louis Park MN 554261723 10/28/2003

Miller Karen 7243R 1501 N. Campbell Ave. 520-694-6341 Tucson AZ 85724 4/25/2006

Miller Kristi 7608R 11555 Heron Bay Blvd. Ste 308 8664255768 Coral Springs FL 33076 2/27/2007

Miller Melissa 8152R 12162 Rancho Vistoso Rd. Ste 120 5202290009 Oro Valley AZ 85755 7/22/2008

Miller Nathan 5414P 5118 Spencer Rd 4406231153 Lyndhurst OH 44124 2/13/2001

Mills Amanda 6314J 351 N Arizona Bld 5207232441 Coolidge AZ 85228 12/16/2003

Mills Eric 7666M 1031 N. Clark St. 4804193500 Chicago IL 60610 4/24/2007

Mills Laura 8163A 3011 Kulshan St. 5417602083 Bellingham WA 98225 7/22/2008

Milner Amber 8511AR 3301 Matlock Rd 8174653241 Arlington TX TX 76015 6/23/2009

Moeller Katharine 9604L 2 Keewaydin Dr. 6038934515 Salem NH 03079 11/8/2011

Moir Larissa 8242A Post Office Box 1706 9108921000 Dunn NC 28335 9/26/2008

Molloy Mary-Lou 2345 301 South Willard Street 5207752765 Cottonwood AZ 86326 9/29/1992

Moody Jason 7420L 6677 W. Thunderbird 6234863012 Glendale AZ 85306 9/26/2006

Morgan Pamela 7929L 6440 South Millrock Dr. 175866-724-8555 Salt Lake City UT 84121 11/19/2007

Morgan Rachael 8389L 8110 Boulder Dr. 8103383466 Davison MI 48423 1/27/2009

Wednesday, November 14, 2012 Page 16 of 26

Page 17: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Moriarty Susan 1153B 10836 N Pomegranate Dr 5207974739 Oro Valley AZ 85737 11/22/1983

Morici Matthew 9205P 2900 Charlevoix Dr. SE Ste 200 8883258064 Grand Rapids MI 49546 12/28/2010

Moritz Robyn 8312A 333 First St. N. Ste 200 9042419231 Jacksonville Beac FL 32250 11/25/2008

Morris James 9120AD 8800 SE Cairey Logo, R208 9714007390 Happy Valley OR 97086 10/12/2010

Mracek Kari Anne 6686 855 W. 12th Ave 6048754411 Vancouver BC Canada 12/29/2004

Mraz Sara 7716T 6551 Park of Commerce Blvd 425-251-5165 Boca Raton FL 33487 6/26/2007

Muckler Debra 8167M 10752 N 89th Pl Ste 106 4808374565 Scottsdale AZ 85260 7/22/2008

Mullen Diane 7996M 3850 S Meridian 2538459098 Puyallup WA 98373 1/22/2008

Murphy Brian 9731P 2232 Foothill Dr. 105F 8018152858 Salt Lake City UT 84109 3/27/2012

Music Sandra 8792 14502 W. Meeker Blvd 6232144000 Sun City West AZ 85375 12/22/2009

Myers Catherine 1810A 4801 E Quien Sabe Way 480-205-8532 Cave Creek AZ 85331 9/1/1989

Nast James 8291AL 215 S Lincoln Ave 3527467027 Beverly Hills FL 34465 11/25/2008

Neas Gregory 5168H 3705 N Swan Rd 5207213904 Tucson AZ 85718 11/10/1999

Neely Rita 4025M 998 S Hwy 25 W 60654911834 Wiliamburg KY 40769 9/23/1997

Neiman Dawn 9668M 4441 E Lohman Ave 5755216400 Las Cruces NM 88011 1/24/2012

Nelson Andrea 8674N 200 Admoral's Cove Bldvd 5617441700 Jupiter FL 33477 9/22/2009

Nelson Judith 6711G PO Box 1288 7074410770 Willow Creek CA 95573 1/25/2005

Nemec Sarah 7424M 1851 King James Pkwy #116 2484705921 Westlake OH 44145 9/26/2006

Neshem April 8114J 3230 E. Baseline Rd. #101 6024389773 Phoenix AZ 85046 6/24/2008

Nessler Trent 4257R 2021 Church St 102 6152847752 Nashville TN 37203 7/9/1998

Netser Dennis 1516E 13840 N Desert Harbor Dr 6239720995 Peoria AZ 85381 3/19/1987

Newberg Julie 8141AA 3269 Stockton Hill Rd. 9286924688 Kingman AZ 86401 7/22/2008

Newkirk Lorena 6042M 1333 Spring St. 2314874638 Petoskey MI 49770 3/25/2003

Newman Cory 8421A 5025 Newman Ln 5405252079 Pulaski VA 24301 2/24/2009

Newton Courtney 8675C 950 W. Southern Ave. 4809687200 Tempe AZ 85282 9/22/2009

Nguyen Trung 8243S 2100 S Weeks Rd. 5129474329 Prescott AZ 86303 9/26/2008

Nichols Meredith 8278M 3950 Mahaila Ave 14E 6267553374 San Diego CA 92122 10/28/2008

Nicholson William 8599G 11315 Corporate Blvd Ste 100 8007747785 Orlando FL 32817 7/28/2009

Nideur Michael 8857AW 3117 Stillwater 9284420005 Prescott AZ 86305 3/23/2010

Nielsen Erin 7371M 917 N. Washington Ave. 6052566551 Madison SD 57042 9/1/2006

Noble Peggy 0045A 14631 E Dixileta Dr. 6029939559 Scottsdale AZ 85262 11/10/1998

Noll Sarah 9165AA PO Box 1739 8454770767 Greenwood Lake NY 10925 11/23/2010

Norgren Georgia 8245L PO Box 636 3037269805 Edwards CO 81632 9/26/2008

Wednesday, November 14, 2012 Page 17 of 26

Page 18: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Northcutt Sheila 1998A PO Box 219 6238893480 Orange County CA 92856 12/6/1990

Oetker Jennifer 5875L 3600 W Lincoln 5152394400 Ames IA 50010 9/1/2002

Ohashi Jennifer 8495L 1 East Delaware 6G7146252025 Chicago IL 60611 5/26/2009

Ohashi Robert 8496S 2641 W Harrison St.n. 7738266104 Chicago IL 60612 5/26/2009

Oliver William 3414G 7112 Pan American Freeway #300 5053154610 Albuquerque NM 87109 3/23/2004

Olson Paulette 7128J 1979 Lakeside Parkway Ste 250 6788371252 Tucker GA 30084 12/20/2005

Onnen Lisa 8200M 77757 466th Ave 3084407373 Litchfield NE 68852 9/1/2008

Ortiz Patricia 8185AM 4320 Anvil Dr. 7193928385 Colorado Springs CO 80925 9/1/2008

Osborne Adrianne 7795AL 1315 NW 4th St. Ste B 5419237494 Redmond OR 97756 8/14/2007

Otanicar Jennifer 7426L 7208 E Cave Creek Rd H480-488-9095 Carefree AZ 85377 9/26/2006

Ousley-Trevett Jennifer 5472R 1875 W Frye Road 4807283864 Chandler AZ 85224 6/27/2001

Packer Ericka 7701AD 4761 Ward Blvd. 2523992112239 Wilen NC 27893 5/22/2007

Padaoan Joselito 8085AR 7400 E Osborn Rd 4808824000223 Scottsdale AZ 85251 5/22/2008

Paggiaro Simoes Lucas 8825R 1121 E Brooks Street 4128971447 Gilbert AZ 85296 1/26/2010

Palmer Marie 7780M 300 Health Services Dr. 3026296224 Seaford DE 19973 8/14/2007

Palmieri Michael 5062E 340 Snow Canyon Dr. #15 4358178100 Irvins UT 84738 7/8/1999

Parikh Tina 4046H 11251 Campfield Dr. #2206 602-361-8787 Jacksonville FL 32256 10/6/1997

Park Priscilla 8090J 811 S E Indian Bend 123 4809516464 Scottsdale AZ 85250 5/22/2008

Parker Donna 8280 9201 E Mountain view Rd. 4808824821 Scottsdale AZ 85258 10/28/2008

Parker Jarred 6536A 11301 Corporate Blvd #101 8778963660 Orlando FL 32817 9/1/2004

Parker Melanie 6541A 65 Ridge Rd 8605824235 Bristol CT 06010 9/1/2004

Parr Casey 5363W 3705 M Swam Rd 5202997088 Tucson AZ 85718 11/2/2000

Parry Katherine 6389K 1060 Weaver Dr. 407-977-9701 Oviedo FL 32765 3/23/2004

Patel Susan 9670B 1 Kish Hospital Dr. 8157561521 DeKalb IL 60115 1/24/2012

Patro Jennifer 7547R 2650 N. Wyatt Dr 5203223663 Tucson AZ 85712 12/18/2006

Patty Leann 8858AD 2692 Audubon Trail 6143837864 Columbus OH 43231 3/23/2010

Pay Dennis 1905E 8812 W State Ave 6233300613 Glendale AZ 85305 5/31/1990

Pearson Amy 6793J 2918 E. University Ave. 5152658272 DesMoines IA 50317 4/22/2005

Peavey Alicia 6894 700 Katlian St. Ste E 9077475861 Sitka AK 99835 7/26/2005

Pederson Heidi 9277M 2900 Charlevoix Dr. Se 8006848048 Grand Rapids MI 49546 3/22/2011

Pelletier Dana 7843L 14802 N. Del Webb Blvd. 6239772775 Sun City AZ 85351 9/25/2007

Pena Melendez Amarilys 7667 5 Joel Drive Ft. Campbell KY 42223 4/24/2007

Pepper Mary 7548V 305 S. Ellwood Ave. 4107327010 Baltimore MD 21224 12/18/2006

Wednesday, November 14, 2012 Page 18 of 26

Page 19: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Perez Israel 8012AG 6440 S Millrock Dr. 8004533030 Salt Lake City UT 84121 2/26/2008

Perkins Julie Ann 0099A 121 E Mountain Morning Drive 5203315220 Oro Valley AZ 85704-7309 1/4/1999

Perrozzi Angela 8390K 6606 E Carondelet Dr. 6022968513 Tucson AZ 85710 1/27/2009

Person April 0275AM PO Box 1834 7012557920 Bismarck ND 58301 3/5/2001

Perumal Julie 9042A 3700 N. Windsong Dr. 9287598800 Prescott Valley AZ 86314 9/1/2010

Pesnell Dinah 3662L 3455 Caynon de Flores Suite B 5208039727 Sierra Vista AZ 85650 8/27/1996

Peters Kerry 8293AA 305 Uxbridge Lane 2192415975 Carmel IN 46032 11/25/2008

Peterson Kristen 7403L 350 N. Wilmot 5208735280 Tucson AZ 85711 9/26/2006

Pettit Stacy 7888AJ 2700 E 42nd Apt A203 9077482438 Anchorage AK 99508 10/23/2007

Pfandl Steve 8467 1234 Heath St. 3609706297 Redlands CA 92374 4/28/2009

Pharney Julie 6954 3000 Northwoods Pkwy Ste 105 8665181750 Norcross GA 30071 8/23/2005

Philip Peter 6068A 42 Vitti St 2039663076 New Canaan CT 06840 11/21/2006

Piehota Tanya 6283A 9/13/2004

Poschner Christina 8806AR 901 Baseline Rd. 9287635728 Bullhead City AZ 86442 1/7/2010

Potter Christopher 8343D 1832 Sylvan Ave SE 6168213899 Grand Rapids MI 49506 12/18/2008

Potter Megan 8344E 1832 Sylvan Ave SE 6168213898 Grand Rapids MI 49506 12/18/2008

Prasso Lisa 9208G 917 Beville Rd Ste G 8006607711 South Daytona FL 32119 12/28/2010

Proctor Jodi 7529AN 20715 E. Ocotillo Rd Bldg B Ste 1034808881558 Queen Creek AZ 85242 11/21/2006

Pruitt Ford Lauren 7792A 3339 W Drinkwater Blvd 4809495400 Scottsdale AZ 852516413 8/14/2007

Puentedura Emilio 3538J 4505 Maryland Parkway Box 453029 5203441656 Las Vegas NV 89154-3029 3/26/1996

Purdum Kristen 7331N 2112 Abbot Way 4102032283 Woodstock MD 21163 7/25/2006

Putterman Darice 0856M 16856 Last Trail Dr 480-837-8066 Fountain Hills AZ 85268 6/30/1980

Quick RuthAnn 2561 13951 W. Grand Ave., Ste. 201 6235379730 Surprise AZ 85374 9/14/1993

Rackers Rachel 6899K 2577 E Locust Dr 480-699-1904 Chandler AZ 85249 7/26/2005

Rainey Crystal 8294AL 11 E Golden 3524766522 Beverly Hills FL 34465 11/25/2008

Rakosnik Lewis 2403D 1626 S Edward Drive 602-252-5000 Tempe AZ 85281 12/8/1992

Ramage Paulette 7871C 7219 North Litchfield Road 623-856-9729 Luke AFB AZ 85309 10/23/2007

Ramovs Frank 7178 5001 Statesman Dr. 866-756-0002 Irving TX 75063 2/14/2006

Ramsey Kimberly 5707 4380 Maidstone 8054519755 Corona CA 92883 2/26/2002

Randall Jeremiah 8826T 10712 W Camelback Rd 6233025458 Phoenix AZ 85037 1/26/2010

Ray Danielle 9227A 912 W 1600 S Ste C102 4356880648 St George UT 84770 1/25/2011

Readence Denise 5572J 321 N Buffalo Ste 110 7023410606 Las Vegas NV 89145 9/12/2001

Rexius Melenda 7889AE RR 2 Box 8 4028411640 Spencer NB 68777 10/23/2007

Wednesday, November 14, 2012 Page 19 of 26

Page 20: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Reyes Gloria 9374AM 2712 Ann Drive 5202568543 Big Spring TX 79720 7/5/2011

Ricciardi Julie 8352M 3841 N Freeway Blvd 9166464852 Sacamento CA 95834 12/18/2008

Rich Amy 9043J 12605 E 16th Ave Mail Stop F-7657208483807 Aurora CO 80045 9/1/2010

Richardson Frederick 6712H 150 N Finley Ave 9087661407 Basking Ridge NJ 7920 1/25/2005

Rigby William 8261AT PO Box 352 8632913854 Lake Alfred FL 33850 9/26/2008

Rizzo Thomas 7584E 21811 N. Scottsdale Rd. Ste 120 Scottsdale AZ 85255 1/23/2007

Roach Lori 9130AM 23626 E Mississippi Cir 7202161565 Aurora CO 80018 10/26/2010

Roberts Alan 8870B 350 E 300 S Ste 100 8013974180 Bountiful UT 84010 3/23/2010

Roberts Christa 9642A 400 NE Mother Joseph Pl 3605142000 Vancouver WA 98664 12/27/2011

Robertson Mark 9470R 1791 Mesquite Ave 9288554248 Lake Havasu City AZ 86403 8/2/2011

Robertson Shanna 9471R 1791 Mesquite Ave 9288554248 Lake Havasu City AZ 86403 8/2/2011

Robinson Amy 7453M 6177 Rivercrest Dr. 9518899111 Riveside CA 92562 10/24/2006

Robinson Jennifer 5751L 16195 SW 72nd Ave 928-708-4639 Portland OR 97224 5/28/2002

Robinson Jessica 8426S 12513 440th St. 2187762080 Clearbrook MN 56634 2/24/2009

Robinson Lizette 5955E 1352 W. Glenmere Dr. 4809632854 Chandler AZ 85224 12/17/2002

Rockey Barbara 8473AA 433 Holmes St. 8143559152 Bellefonte PA 16823 4/28/2009

Rodriguez George 8251A 14831 W. 42nd Way 6023747174 Phoenix AZ 85032 9/26/2008

Roe Brett 5018L 175 W. 90th Street #17E917-526-1501 New York NY 10024 5/10/1999

Rohrbough Shashi 3971B 1615 N. Kittredge Rd 9287741342 Flagstaff AZ 86001 8/19/1997

Romkey Duke 9237P 200 Patewood Dr. Ste C150 8644540904 Greenville SC 29615 1/25/2011

Roseborrough Aimee 6957E 1200 N Beaver St 9287793366 Flagstaff AZ 86001 8/23/2005

Rosenbaum Daniel 8253P 23 Cook Rd 7328594879 East Brunswick NJ 08816 9/26/2008

Rosenbaum Michelle 8252R 5301 E Grant Rd. Tucson AZ 85712 9/26/2008

Rossiter Stephanie 6267D 3395 N 301st Drive 6232664270 Buckeye AZ 85396 10/28/2003

Routt Kristin 0090AM 3rd ST & Dunlap 6023315860 Phoenix AZ 85020 12/29/1998

Rowell Denise 6009P 63675 E. SaddleBrooke Blvd. Suite R5208258002 Tucson AZ 85739 1/28/2003

Roy Monali 7064D 2450 19th Ave S 9283440425 Yuma AZ 85364 10/25/2005

Rozier Carla 8346M 3293 N. Drinkwater Blvd 4809477443 Scottsdale AZ 85251 12/18/2008

Rubin-Deloney Makkeda 0245AN 624 W Gary Way 6023470516 Phoenix AZ 85041 9/15/2000

Rummel Robert 9107J 939 Caroline St. 3604177000 Port Angeles WA 98382 9/28/2010

Rylands Beth 0123AA 1045 S 308th 2539462465 Federal Way WA 98003 2/1/1999

Sacks Sarah 7999E 1400 E Boulder Street 7193659862 Colorado Springs CO 80909 1/22/2008

Salgado Jose 6453 9377 E Bell Rd., Ste 101 480-862-9369 Scottsdale AZ 85260 6/22/2004

Wednesday, November 14, 2012 Page 20 of 26

Page 21: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Sanchez Luisa 8603Y 300 Waymore St 8003433270 El Paso TX 79902 7/28/2009

Sanchez Steven 8796J 1919 E Thomas Rd. 6025460951 Phoenix AZ 85016 12/22/2009

Sanderson Michelle 4065L 1650 Cowles St 9074585670 Fairbanks AK 99701 10/27/1997

Sandoval Elizabeth 1543A 1003 Willow Creek Rd. 5207715131 Prescott AZ 86301 6/25/1987

Sanfelippo Cristin 9258M One Barnes Jewish Plaza 3143622389 St. Louis MO 62110 2/22/2011

Saunders Tracy 6266B 2250 E. Flamingo 7027844384 Las Vegas NV 89119 10/28/2003

Scafidi John 7377P 8 Locksley Lane 7325366858 Manalapan NJ 07726 9/1/2006

Schanzer Benjamin 9279T 3220 State St. 100 5033649850 Salem OR 97301 3/22/2011

Schardt Justin 8204L 3220 W Ina Rd 2208 4022368689 Tucson AZ 85741 9/1/2008

Scheider Shari 7416L 1900 N. Higley Road 4805434350 Gilbert AZ 85234 9/26/2006

Schmidt Donna 8827L 711 Petrie Ave 8698611292 St. Joseph MI 49085 1/26/2010

Schneck Amy 8798I 64 Danbury Rd. 8002780332 Wilton CT 06897 12/22/2009

Schoch Kristen 6672A 2100 Stantonsburg Rd 7724614000 Greenville NC 27834 12/21/2004

Schroeder Dana 8468N 11368 Peggy St. 2258024796 St. Amant LA 70774 4/28/2009

Schultz Jeromy 6539T 115 Madison Street 7407074035 Nelsonville OH 45764 9/1/2004

Schulz Michelle 6410F 101 Civic Center Lane 928-453-0411 Lake Havasu City AZ 86403 4/27/2004

Schumacher Cyle 8679J 5419 N. Lovington Hwy 5754925000 Hobbs NM 88240 9/22/2009

Schumacher Thomas 8828J 1700 E. Bogard Rd. Ste 203 9073764325 Wasilla AK 99654 1/26/2010

Schuster Kari 8205A 1879 Saint Francis Pl 4803020662 Casa Grande AZ 85222 9/1/2008

Seibold Jana 7379M 7960 E Thompson Peak Pkwy 4805856810 Scottsdale AZ 85255 9/1/2006

Sejna Amanda 8500J 2438 Concord Cir 3038005564 Lafayette CO 80026 5/26/2009

Septon Patrick 7430J 1111 E McDowell Rd 602-239-4760 Phoenix AZ 85008 9/26/2006

Serani Amanda 6910B 1890 Semoran Blvd. 251407-657-5029 Winter Park FL 32792 7/26/2005

Severino Mike 8847R 2900 Charlevoix Dr. SE Ste 200 8006341077 Grand Rapids MI 49546 2/23/2010

Severino Nicole 8848A 2900 Charlevoix Dr. SE Ste 200 8006341077 Grand Rapids MI 49546 2/23/2010

Sevier Emily 0253AR 8115 E Indian Bend Rd Ste 123 4809516451 Scottsdale AZ 85250 10/12/2000

Shah Neema 7873J 7707 W Deer Valley Rd 100623-376-9100 Peoria AZ 85382 10/23/2007

Shane Matthew 8892R 20715 E. Ocotillo Rd., Ste. 103 4808881558 Queen Creek AZ 85142 4/27/2010

Shapiro Rochelle 3710 1055 W Queen Creek Rd 34808147115 Chandler AZ 85224 9/24/1996

Shaver Rachelle 8541L 2327 W. Clearview Trail 6232493977 Anthem AZ 85086 6/23/2009

Sheehan Mariana 9151S 1022 Prospect St. 1202 4157103017 Honolulu HI 96822 10/26/2010

Shelley Justin 9179J 350 N Wilmot Rd. 7163979729 Tucson AZ 85711 11/23/2010

Shepherd Gaynelle 7382A 1700 Hwy 92 Ste A&B 5203356118 Sierra Vista AZ 85635 9/1/2006

Wednesday, November 14, 2012 Page 21 of 26

Page 22: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Sherman Jeremy 8451F 11025 S 51st St 20259202036728 Phoenix AZ 85044 3/24/2009

Sherman Ronald 2660G 2702 N 3rd Street 30456023080027 Phoenix AZ 85004 10/26/1993

Shipp Marilyn 2003J 655 E river Rd., Ste B-209 5206941251 Tucson AZ 85724 12/6/1990

Shumway Mary 5499AS 3107 W. Willow Reed 8017682580 Lei UT 84043 7/16/2001

Sibble Jennifer 0258AJ PSC 37 Box 3277 RAF Mildenhall 1638716995 Bury St Edmunds UK IP288nf 11/21/2000

Simpson Kara 9672C 4441 E Lohman Ave 5755216585 Las Cruces NM 88011 1/24/2012

Sinclair Gail 2647H 6367 E Tanque Verde 520-721-8800 Tucson AZ 85715 10/26/1993

Sipos Corey 9025AL 4806 S Lincoln Ridge Dr. 5204042995 Tucson AZ 85730 9/1/2010

Skurka Dean 7395F 1615 S Federal Hwy 8008848788 Boca Raton FL 33432 9/26/2006

Slater Lisa 9280C 1801 Hickman Rd. 5152822331 Des Moines IA 50314 3/22/2011

Slotzkin Susan 8452K 7261 E Nathan St. 4802727454 Mesa AZ 85207 3/24/2009

Smelt Kellie 0091AA 7149786800 12/29/1998

Smith Carla 5519M 10 B Martin Coaurt 4102285311 Easton MD 21601 8/7/2001

Smith Clarence 5436A P. O. Box 2613 4108733214 Salisbury MD 21802 3/23/2001

Smith Erik 9281T 3615 W Main St. 5853804500 Salem OR 24153 3/22/2011

Smith Margaret 0973A 4176 E Medlock Dr. 6028407733 Phoenix AZ 85018 10/26/1981

Smith Nicholas 8348D 538 Eleanor St. NE 6165409767 Grand Rapids MI 49505 12/18/2008

Smith Tyler 8542D 2000 W Wickenburg Way 2009286840108 Wickenburg AZ 85390 6/23/2009

Snyder Christine 3256N 1400 US Route 441 N 830352-753-6999 The Villages FL 32159 8/22/1995

Soares Elizabeth 6864A 13700 Veterans memorial Drive 281-583-7191 Houston TX 77014 6/28/2005

Sobel Pamela 8171J 2900 Chadevoix Dr Suite 200 Grand Rapids MI 49546 7/22/2008

Solheim Benjamin 8721D PO Box 93 5418638401 Myrtle Creek OR 97457 10/27/2009

Sonntag Gregory 2617A 4838 E. Baseline Rd 105480-890-9000 Mesa AZ 85206 9/14/1993

Spaulding Nicole 8229L 300 Corporate Blvd South 9142946422 Yankers NY 10701 9/26/2008

Speer Sasha 9212M 2 Keewaydin Dr. 8009952673 Salem NH 03079 12/28/2010

Spurgeon Dacotah 9054J 1325 W First Ave 218 5092303745 Spokane WA 99201 9/1/2010

St. Romain Amy 6129G 1921 W. Hospital Dr. 5205445255 Tucson AZ 85704 6/24/2003

Stangl Cheryl 6853L 2900 Charlevoix Dr. SE Suite #200800-634-1077 Grand Rapids MI 49546 6/28/2005

Stanley Leslie 9055M 9/1/2010

Steele Kathyrn 6646AA 3050 N Roadrunner Pwk Ste C Unit 1 5758228811 Las Cruces NM 88011 11/23/2004

Stegle Kathy 8681 17822 Davenport Rd., Ste A 9727131713 Dallas TX 75252 9/22/2009

Stein Janie 8176AM 141 S Clark St 7856435332 Salina KS 67401 7/22/2008

Stevens Bradley 8256M 1441 Constitution blvd 8317556230 Salinas CA 93906 9/26/2008

Wednesday, November 14, 2012 Page 22 of 26

Page 23: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Stevens Clara 8762V 2900 Charlevoix Dr. Ste 200 8006848048 Grand Rapids MI 49546 11/24/2009

Stimac Michael 9074AN 4550 E Bell Rd. Ste 270 9062816789 Phoenix AZ 85032 9/28/2010

Stone Karen 8454R 2900 Charlevoix Dr. Ste 200 8006848048 Grand Rapids MI 49546 3/24/2009

Stradling Adam 9920AC 240 W Thomas 6024063151 Phoenix AZ 85013 7/25/2012

Stricker Sara 9132AJ 1005 E 23rd St. Ste 200 Freemont NE 68025 10/26/2010

Strickland Kari 8396L 3269 Stockton Hill Rd. 9286924630 Kingman AZ 86409 1/27/2009

Stuart Richard 1120C PO Box 426 4805752850 Cave Creek AZ 85327 9/8/1983

Studebaker Candace 6310S 7070 N. Oracle Road Ste 110 5205310020 Tucson AZ 85704 12/16/2003

Suckow Autumn 8258R 1255 W. Baseline Rd 1404808207675 Mesa AZ 85202 9/26/2008

Super Jessica 9180L 1640 W Redstone Center Dr. Ste 200 8664746677 Park City UT 84098 11/23/2010

Sutton Shawn 9218D 11133 O St Omaha NE 68137 1/10/2011

Swan Julie 6940A 14640 John Humphrey Dr. 7084035199 Orland Park IL 60462 8/23/2005

Swierz James 5718A 111 Hospital Drive 2526417776 Tarboro NC 27886 3/26/2002

Swierz Kara 7786A 3002 Satterfield Drive 5206644428 Greenville NC 27834 8/14/2007

Szamecki Amanda 8266AJ 304-1A Runaway Bay Cir 7349040947 Mishawaka IN 46545 10/28/2008

Tahyi Jo Anna 7626 Drawer #1 5755887297 Tierra Amarilla NM 87575 3/27/2007

Tangenberg Kay 0828L 1423 6th St. 2063622087 Marysville WA 98270 4/10/1997

Tanner Nathan 8259S 1696 S Falcon Dr. 4806347768 Gilbert AZ 85295 9/26/2008

Taylor Derek 9152A 4645 Clyde Mom's Blvd 407 Port Orange FL 32129 10/26/2010

Taylor Elizabeth 7644AM 325 N St. Paul 4200 8662170907 Dallas TX 75201 3/27/2007

Taylor Jon 8397M 7540 N 19th Ave Ste 200 8888734221 Phoenix AZ 85021 1/27/2009

Taylor Sally 7145M 345 East Superior Street 312-238-7029 Chicago IL 60611 1/23/2006

Tedford Jil-Lyn 6224M 7227 N. 16th St. Suite 1076029431012 Phoenix AZ 85020 8/26/2003

Tetrault Margo 2465A 1601 W. St. Marys Road 5208722262 Tucson AZ 85745 2/23/1993

Tetreau Julie 7067R 4 Captain Dr #316 6168626953 Emeryville CA 94608 10/25/2005

Thompson Darcey 7461A 8115 E Indian Bend 1234809516451 Scottsdale AZ 85250 10/24/2006

Thompson Jane 8001L 2900 Charlevoix Dr 200800-684-8048 Grand Rapids MI 49546 1/22/2008

Thompson Marcia 8763J 111 Oxford Ave 3602819523 Clovis CA 93612 11/24/2009

Tickner Colleen 8608M 104 Robinhood Ln 3157513481 Camillus NY 13031 7/28/2009

Tillotson Wade 8805M 2801 Atlantic Ave 5629338832 Long Beach CA 90806 12/24/2009

Timer John 8872S 2401 W Belvedere Ave 4106019000 Baltimore MD 21215 3/23/2010

Tjaden William 5314P 3090 N 3rd Ave 6027452940 Phoenix AZ 85013 9/6/2000

Topolski Daniel 8501E 122 Dal Keith Rd. 6466600318 Rochester NY 14609 5/26/2009

Wednesday, November 14, 2012 Page 23 of 26

Page 24: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Toth Leah 8032A 2122 E Highland Ave. Ste 200602-778-0900 Phoenix AZ 85016 2/26/2008

Touchton Marybeth 2625T 4650 W. Sweetwater 6023472167 Phoenix AZ 85304 9/14/1993

Towle Adaline 8206B 477 W. Horton Rd 3604287799 Bellingham WA 98226 9/1/2008

Townsend Terri 5573AD 7540 N. 19th Ave 9282143566 Phoenix AZ 85021 9/18/2001

Trcka Jenee 8285L PO Box 591 2144505363 Lehi UT 84043 10/28/2008

Tribe Lindsy 8682R 10165 E Hampton Ave 1114803545424 Mesa AZ 85209 9/22/2009

Tucker Rosanne 9156 1930 E Southern Avenue 3042421390 Tempe AZ 85282-7518 11/8/2010

Turcotte Natalie 9048E 40 Eastern Ave 8003433270 Malden MA 021489104 9/1/2010

Turton Barbara 2677G 6559 N Foothills Dr 5205298702 Tucson AZ 85718 11/30/1993

Tveit Rodenkirch Ingrid Kater 3341 3710 sw us veterans's hospital rd 5032735018 Portland OR 97207 9/19/1995

Twohy Lucy 9538A 9520 SW Washington Pl 5033125426 Portland OR 97225 9/27/2011

Uttenreither Donald 2364C 368 W. Olive Ave. 5597821501 Porterville CA 93257 9/29/1992

Vaia Matthew 8609 2940 E Banner Gateway Drive 4254808137900 Gilbert AZ 85234 7/28/2009

Valenzuela Fred 5002J 1881 Brown St 7072577637 Napa CA 94559 3/26/1999

Van House Daniel 8718J 64 Danbury Rd. 8002780332 Wilton CT 06897 10/27/2009

Van Velzen Reginald 9648G 194 Merritt St. W 9056417675 Welland Ontario C L3 12/27/2011

Van Vught Tracy 8351M 9 Laura Dr. 8603056604 Windham ME 04062 12/18/2008

VanArsdell Lance 2821P 400 Roberts Rd 6026198582 Yakima WA 98908 4/26/1994

Vance Judith 5660C 5924 Chandler Ct. 7077757809 Santa Rosa CA 95409 12/21/2001

Vander Bloomen Kelly 9316J 3124 N Swan Rd 5203254227 Tucson AZ 85712 4/26/2011

Vanini Sam 9011J 3339 N Drinkwater Blvd 4809495400 Scottsdale AZ 85251 7/27/2010

Vavrinak John 6578K 9201 W. Thomas 6233277247 Phoenix AZ 85037 9/28/2004

Veatch Joy 3976 PO Box 5008 9285674536 Lake Montezuma AZ 86342 8/19/1997

Vena William 4085H 4510 S Eastern Ave Suite 77027342732 Las Vegas NV 89119 11/18/1997

Verstegen Amy 0211AL 2629 East Rosegarden Lane 4804499000 Phoenix AZ 85050 2/22/2000

Vitz Kelly 7277A 627 S. Walter Reed Dr. Apt 462C Arlington VA 22204 5/23/2006

Vixie Heather 5523M 641 ACR 3144 9283331119 Show Low AZ 85901 8/16/2001

Voden Paul 8398J 55 Wilkinson Dr. 3125452215 North York, ON M CA 1/27/2009

Volbrecht Jason 6587AG 5000 W Oakland Blvd 9547356000 Ft. Lauderdale FL 33310 9/28/2004

Vondrachek Lindsay 9943A AZ 8/7/2012

Voorhies Jessica 7629L 6760 W Thunderbird Rd. Ste E1106238484684 Peoria AZ 85381 3/27/2007

Voto Mark 8457AA 4 Stillwater Dr. 6038887610 Nashua NH 03062 3/24/2009

Vrable Allan 7958K 1333 Shall Cross Ave 6143482020 Wilmington DE 19806 12/18/2007

Wednesday, November 14, 2012 Page 24 of 26

Page 25: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Wagner Matthew 9153 313 Teal Dr. 9109047407 Raeford NC 28376 10/26/2010

Waldo Dorothy 0421F 8/1/1973

Walker Jyotika 7010P 4720 E. Cotton Gin Loop 140480-889-3203 Phoenix AZ 85040 9/27/2005

Walker Kenisha 8207A 17714 Arcadia Ave Apt 1N 6309361831 Lansing IL 60438 9/1/2008

Walker Leah 2369R 350 N Wilmot 5206941246 Tucson AZ 85711 9/29/1992

Walker Steven 7011M 4720 E. Cotton Gin Loop 140480-889-3203 Phoenix AZ 85040 9/27/2005

Walton Keith 7102AM 7400 S. Power Rd. Bldg 3 112480-682-5460 Gilbert AZ 85297 11/22/2005

Ward Amy 8353M 1005 Golf Dr. 5408294162 Culpeper VA 22701 12/18/2008

Ward Rachel 8552AE 1285 NC Highway 461 2523328298 Ahoskie NC 27910 7/14/2009

Warne Erin 8122R 3700 N. Windsong Dr. 9287598800 Prescott Valley AZ 86314 6/24/2008

Warshay Dawn 8061M PO Box 69902 5205440335 Tucson AZ 85737 3/25/2008

Watson Jerry 7150B 8324 La Camila Rd NE 5054003963 Albuquerque NM 87110 1/23/2006

Watts Eva 1636E 18026 N. 19th Ave #87 6027897601 Phoenix AZ 85023 3/24/1988

Weakland William 8033T 202 E Van Riper, Ste 202 5172232100 Fowlerville MI 48836 2/26/2008

Weedman Carrie 8123A 2362 Two North Rd 8037997007 Columbia SC 29204 6/24/2008

Weegar Kathryn 8400A 354 Front Street Suite 57745535281 Marion MA 02738 1/27/2009

Wegener Nicholas 6859G 1076 W. Chandler Blvd #1034808211997 Chandler AZ 85221 6/28/2005

Weidauer Kurt 8319D 12411 Wirt St. 4027075769 Omaha NE 68164 11/25/2008

Welbes Amber 7586L 1640 W. Redstone Center Dr 200888-800-8744 Park City UT 84098 1/23/2007

Welke Marilyn 3570K 211 E Mill St. 2188631140 Pelican Rapids MN 56572 4/30/1996

Wellsandt Elizabeth 9214A 13609 California St Ste 200 8004565857 Omaha NE 68154 12/28/2010

Wellsandt Michael 9215J 13609 California St. Ste 200 8004565857 Omaha NE 68154 12/28/2010

Wessinger Karen 9283E 229 Elm St 4137735924 Greenfeld MA 01301 3/22/2011

West Peter 3790C 6367 E. Tanque Verde 5207218800 Tucson AZ 85715 1/16/1997

Wheeler Bradford 8401A 3953 Crooked Creek 5174492724 Okemos MI 48864 1/27/2009

Wheeler Jason 7675D 12525 E Mission Avenue Suite 1045099281500 Spokane WA 99216 4/24/2007

Wheeler Marissa 8402D 6584 Vantage Dr. 6164608815 Caledonia MI 49316 1/27/2009

Whipple Alicia 8831M 16 Aldrin Rd. 5088300093 Plymouth MA 02360 1/26/2010

White Conny 4239E 1740 Curie Dr. 9155778562 El Paso TX 79902 5/26/1998

Whitehurst Lief Jessie 2775 3301 Leestown Rd 8592556812536 Lexington KY 40511 3/29/1994

Whitlock Amanda 8767M 2900 Charlevoix Dr. SE Ste 200 8006848048 Grand Rapids MI 49546 11/24/2009

Wichman Julia 8837AA 10101 N. 91st Ave. Unit 72 2534265103 Peoria AZ 85345 2/23/2010

Willer Jocinda 8804S 2900 Charlevoix Dr. SE, Ste 200 8006349586 Grand Rapids MI 49546 12/22/2009

Wednesday, November 14, 2012 Page 25 of 26

Page 26: Directory of Licensed Physical Therapists-Active · Anteau Jennifer 7002C 8327 N. Oracle Rd ... Barduson Beth 8720L 777 9th St. N 2392618126 Naples FL 34102 ... Directory of Licensed

Last Name First Name License #MI Phone City St ZIP ISSUEDAddress Lines 1 and 2Williams Christopher 7587J 6440 south millrock drive 175800-731-6875 salt lake city UT 84121 1/23/2007

Williams Matthew 9014M 1300 N 12th St. 6022394567 Phoenix AZ 850062850 7/27/2010

Williams Stephen 8320M 3612 Wesley Dr. NW 3608663582 Olympia WA 98502 11/25/2008

Winnie Dana 7386M 333 Gellert Blvd Ste 150 6507584700 Daly City CA 94015 9/1/2006

Winslow Mary 8425M 301 Riggsbee Farm Dr. 9194812158 Cary NC 27519 2/24/2009

Winters Matthew 6680J 3048 E. Baseline Rd 1144803068512 Mesa AZ 85204 12/21/2004

Wirch Jennifer 9015L 7/27/2010

Wisniewski Nicole 8883AM 2900 Charlevoix Dr. SE Ste 200 Grand Rapids MI 49546 4/27/2010

Witte Laura 6360O 5707 SW Bald Eagle Dr 7723248400 Palm City FL 34990 2/24/2004

Wnorowski Heather 9675N 570 Egg Harbor Rd. 6B 8562188050 Sewell NJ 08080 1/24/2012

Woffinden Pamela 2201H 2832 E. Downing Cr. 480-924-2022 Mesa AZ 85213 12/12/1991

Wolf Fonda 8503S 8032 Waterview Court 5713342410 Midland GA 31820 5/26/2009

Wolff Arthur 3629 2693 West Calle de Dalins 520743-9562 Tucson AZ 85745 8/27/1996

Wood Wendy 5935AA 5704 E Aire Libre Ave #1088 6027872683 Scottsdale AZ 85254 11/26/2002

Woodford Casey 7439 800 W University Ave. 928-779-6931 Flagstaff AZ 86001 9/26/2006

Woodworth Emma 7526L 23444 Canna Ct. 2403175233 California MD 20619 11/21/2006

Wright Karen 7530AC 333 N. 1st St. Ste 200 8665155038 Jacksonville Beac FL 32250 11/21/2006

Yamada Minoru 8546H 4065 E. Bell Rd. 6028670212 Phoenix AZ 85032 6/23/2009

Young Amanda 9216M 917 Beville Rd. Ste G 8003307711 South Daytona FL 32119 12/28/2010

Young Christopher 6103K 1534 East Ray Road Suite 104 480-855-5542 Gilbert AZ 85296 5/27/2003

Young Janet 6542E 676 N. Hwy 89A 9282823002 sedona AZ 86336 9/28/2004

Young Jennifer 7848L 835 Warner Rd 101-4734806567657 Gilbert AZ 85233 9/25/2007

Zelch Timothy 9496G 1133 O Street 8002599897 Omaha NE 68137 9/12/2011

Zielinski Christina 8210M 7421 Bridgeport Rd., Ste215 5036202400 Tigard OR 97224 9/1/2008

Zimmerman Jill 6414AZ 7495 S. State Street 8012139594 Medvale UT 84047 4/27/2004

Zimmerman Roberta 9114A 3002 W Via DePedro Miguel Phoenix AZ 85086 9/28/2010

Zulaski Jennifer 5374M 222 S Riverside Plaza Ste 830 3124163804 Chicago IL 60606 11/20/2000

Zumbehl Marguerite 3630R PO Box 701032 2104990916 San Antonio TX 78270 8/27/1996

Total Licensees: 850Criteria: Status = 'Admin. Susp.'

Wednesday, November 14, 2012 Page 26 of 26