Organization
HAVASU PHYSICAL THERAPY
Active
Organization
HAVASU PHYSICAL THERAPY
Active
Other names
Donna G Jones D/B/A Havasu Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA GALE JONES PT (OWNER / SOLE PROPRIETOR)
(928) 854-7676
Entity
Organization
Contact information
Practice address
2126 MCCULLOCH BLVD N, STE 18, LAKE HAVASU CITY, AZ 86403-6742
(928) 854-7676
(928) 854-7676
Mailing address
2126 MCCULLOCH BLVD N, STE 18, LAKE HAVASU CITY, AZ 86403-6742
(928) 854-7676
(928) 854-7676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2169
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169
AZ BOARD OF PT EXAMINERS
AZ
01
—
5372
PT BOARD OF CA
CA
Enumeration date
08/22/2005
Last updated
08/22/2020
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