Individual
KATELYNN JONOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6116 E ARBOR AVE STE 106, MESA, AZ 85206-6103
(480) 636-7505
Mailing address
6116 E ARBOR AVE STE 106, MESA, AZ 85206-6103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033400
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPT-033400
PHYSICAL THERAPY LICENSE
AZ
Enumeration date
01/17/2024
Last updated
01/17/2024
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