Individual
JEFFREY MICHAEL LANDRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
23374 W YUMA RD STE 104, BUCKEYE, AZ 85326-3120
(623) 242-6908
Mailing address
3924 W LONE CACTUS DR, GLENDALE, AZ 85308-4718
(602) 540-5670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31279
AZ
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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