Individual
MRS. ANGELA RAE JOWAISZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1919 E MCKELLIPS RD, SUITE 106, MESA, AZ 85203-2844
(602) 418-7031
(480) 610-9811
Mailing address
2253 E HALE ST, MESA, AZ 85213-4012
(602) 418-7031
(480) 610-9811
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330040
PHCS
AZ
01
—
AZ0463340
BCBS
AZ
Enumeration date
01/17/2007
Last updated
07/08/2007
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