Individual
MS. MISCHA ELIZABETH JEMIONEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
4800 N 44TH ST, PHOENIX, AZ 85018-3800
(602) 808-8989
Mailing address
4800 N 44TH ST, PHOENIX, AZ 85018-3800
(602) 808-8989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32848
AZ
2255A2300X
Athletic Trainer
25MT00164000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32848
PT
AZ
Enumeration date
10/27/2011
Last updated
02/14/2023
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