Individual
JESSICA HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9513
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647693
—
AZ
Enumeration date
09/28/2011
Last updated
11/03/2011
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