Organization
VALLEY PHYSICAL MEDICINE & REHABILITATION, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN FRANKS-MITCHELL JAUREGUI (PRACTICE MANAGER)
(602) 406-4578
Entity
Organization
Contact information
Practice address
222 W THOMAS RD STE 114, PHOENIX, AZ 85013-4420
(602) 406-4578
(602) 406-6302
Mailing address
222 W THOMAS RD, STE 114, PHOENIX, AZ 85013
(602) 406-6304
(602) 406-6302
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z66051
MEDICARE PTAN
AZ
Enumeration date
05/17/2006
Last updated
10/25/2022
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