Individual
JONATHAN COREY BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22424 SOUTH ELLSWORTH LOOP ROAD, #464, QUEEN CREEK, AZ 85142
(480) 757-2253
Mailing address
5151 S ARIZONA AVE APT 316, CHANDLER, AZ 85248-4632
(662) 582-8583
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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