Individual
DR. JENNIFER A ZOUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2424 N WYATT DR # 130, TUCSON, AZ 85712-6115
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, CREDENTIALING DEPT., TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6134
AZ
2251G0304X
Geriatric Physical Therapist
6134
AZ
2251S0007X
Sports Physical Therapist
6134
AZ
2251X0800X
Orthopedic Physical Therapist
6134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791097
—
AZ
01
—
AZ0460450
BCBS
—
Enumeration date
10/27/2005
Last updated
07/03/2013
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