Individual
JACE HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10235 S 51ST ST STE 170, PHOENIX, AZ 85044-5221
(480) 889-3206
Mailing address
4038 W MESCAL ST, PHOENIX, AZ 85029-3835
(602) 361-8857
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6143A
AZ
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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