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Organization

PT COACH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY JOSEPH JURASKA (OWNER/PHYSICAL THERAPIST)
(203) 695-5083
Entity
Organization

Contact information

Practice address
10869 N SCOTTSDALE RD, # 103-197, SCOTTSDALE, AZ 85254-5280
(480) 264-0692
Mailing address
8426 E SHEA BLVD, SCOTTSDALE, AZ 85260-6634
(203) 695-5083

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
04/12/2010
Last updated
10/10/2012
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