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Individual

JARED NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
41818 N VENTURE DR, PHOENIX, AZ 85086-3188
(623) 742-7338
(623) 742-7339
Mailing address
41818 N VENTURE DR, PHOENIX, AZ 85086-3188
(623) 742-7338

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-33180
AZ

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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