Individual
DR. JEREMY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
2601 S WOOD BLVD, GOODYEAR, AZ 85338-6914
(623) 302-5678
Mailing address
26300 VILLAGE LN, SUITE 218, BEACHWOOD, OH 44122-7565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12328
AZ
2255A2300X
Athletic Trainer
1463
AZ
Other
Enumeration date
03/28/2016
Last updated
06/29/2016
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