Individual
JENNA TABACZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5410 N SCOTTSDALE RD STE A100, PARADISE VALLEY, AZ 85253
(480) 609-0822
Mailing address
5410 N SCOTTSDALE RD, PARADISE VALLEY, AZ 85253-5927
(480) 609-0822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13168
AZ
Other
Enumeration date
09/11/2017
Last updated
01/05/2019
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