Individual
JESSICA LYNN COOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 774-7106
Mailing address
347 N 6TH AVE APT 7, PHOENIX, AZ 85003-1532
(480) 274-3282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12146A
AZ
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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