Individual
MADISON JEPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 N DYSART RD, LITCHFIELD PARK, AZ 85340-3058
(623) 547-4739
Mailing address
14324 W LEXINGTON AVE, GOODYEAR, AZ 85395-8486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033928
AZ
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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