Organization
GOLDEN YEARS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LEE DERHAM PT, DPT (PHYSICAL THERAPIST)
(425) 750-9526
Entity
Organization
Contact information
Practice address
11453 E REUBEN AVE, MESA, AZ 85212-4113
(425) 750-9526
Mailing address
11453 E REUBEN AVE, MESA, AZ 85212-4113
(425) 750-9526
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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