Individual
JEREMY WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5110 N DYSART RD STE 148, LITCHFIELD PARK, AZ 85340-3062
(623) 547-4739
(623) 536-2154
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 410-4727
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32441
AZ
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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