Individual
MRS. JILL CARLA SHOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 347-4893
Mailing address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 347-4893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2559
AZ
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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