Individual
ROBIN JACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 E MONROE ST, GLOBE, AZ 85501-1363
(928) 425-5721
Mailing address
1100 E MONROE ST, GLOBE, AZ 85501-1363
(928) 425-5721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12716A
AZ
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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