Individual
ANDREA RUTH JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36397 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7336
(480) 567-2987
Mailing address
36397 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7336
(480) 567-2987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11735
AZ
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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