Individual
JENNIFER KALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
(928) 505-5552
Mailing address
830 DESERT VIEW DR, LAKE HAVASU CITY, AZ 86404-2765
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10415A
AZ
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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