Individual
VELVET JEAN SERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(188) 887-3422
(188) 854-3228
Mailing address
PO BOX 6059, FARGO, ND 58108-6059
(188) 887-3422
(188) 854-3228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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