Individual
JENNIFER MARIA RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2012 W SOUTHERN AVE, APACHE JUNCTION, AZ 85120-7305
(480) 983-0700
Mailing address
2445 E ALPINE AVE, MESA, AZ 85204-1502
(619) 244-4726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12858A
AZ
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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