Individual
JESSE BACIGALUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1600 S 20TH AVE BLDG E, SAFFORD, AZ 85546-4011
(928) 348-4047
Mailing address
4140 W 2ND ST, THATCHER, AZ 85552
(928) 651-5359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10026
AZ
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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