Individual
JACALYN DESOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7483 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 207-7220
(520) 207-7109
Mailing address
1106 WALNUT ST STE 110, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12388
AZ
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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