Individual
DR. HANNAH M JASURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
765 N 114TH AVE STE 101, AVONDALE, AZ 85323-5003
(602) 933-7778
(602) 933-4296
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32181
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106500
—
AZ
Enumeration date
11/02/2018
Last updated
08/02/2023
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