Individual
JENNIFER L. PEERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
29452 N 120TH LN, PEORIA, AZ 85383-2404
(602) 290-1211
(623) 594-1353
Mailing address
29452 N 120TH LN, PEORIA, AZ 85383-2404
(602) 290-1211
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400432
AHCCCS
AZ
Enumeration date
03/09/2009
Last updated
03/09/2009
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