Individual
JACK HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5281 N 99TH AVE STE 200, GLENDALE, AZ 85305-3199
(623) 889-0411
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034465
AZ
Other
Enumeration date
11/10/2025
Last updated
11/11/2025
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