Individual
JENNIFER VAN GHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2055 W FRYE RD, SUITE 2, CHANDLER, AZ 85224-6277
(480) 821-9840
Mailing address
3606 E BASELINE RD UNIT 218, PHOENIX, AZ 85042-9613
(815) 751-6916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12297
AZ
Other
Enumeration date
08/08/2016
Last updated
07/21/2022
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