Individual
JESSICA MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14154 S DENNY BLVD, LITCHFIELD PARK, AZ 85340-9431
(623) 537-7500
Mailing address
18041 W YOUNG ST, SURPRISE, AZ 85388-1617
(623) 806-2257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013831
AZ
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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