Individual
MRS. JEAN MARIE HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3402 E BROADWAY BLVD, TUCSON, AZ 85716-5406
(520) 881-0050
Mailing address
3402 E BROADWAY BLVD, TUCSON, AZ 85716-5406
(520) 881-0050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9125A
AZ
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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