Individual
SHALYNN JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2500 N SILVERBELL RD, SUITE 150, TUCSON, AZ 85745-7062
(520) 822-8640
(520) 822-8641
Mailing address
PO BOX 6570, PEORIA, AZ 85385-6570
(623) 398-8072
(623) 398-8235
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10083
AZ
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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