Individual
JOELY O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 W PEORIA AVE STE B408, PHOENIX, AZ 85029-4610
(623) 322-0654
(623) 322-0664
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4273
OK
225100000X
Physical Therapist
Primary
LPT-30686
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4273
PHYSICAL THERAPIST
OK
Enumeration date
11/24/2009
Last updated
06/19/2024
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