Individual
MS. JAYECE R. LAUDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1485 N. TURQUOISE DR., SUITE 220, FLAGSTAFF, AZ 86001
(928) 774-6626
(928) 214-3277
Mailing address
1485 N. TURQUOISE DR., SUITE 220, FLAGSTAFF, AZ 86001
(928) 774-6626
(928) 214-3277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9001
AZ
225100000X
Physical Therapist
Primary
767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698464
—
AZ
Enumeration date
04/27/2012
Last updated
02/20/2013
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