Individual
JILL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7555 N OVERFIELD RD, CASA GRANDE, AZ 85222-9101
(602) 317-6208
(520) 723-9181
Mailing address
8275 W BARTLETT RD, CASA GRANDE, AZ 85222-7339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1053
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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