Individual
JEANNE SAJONAS JIAO WHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5954 S QUATAR CT, AURORA, CO 80015-5015
(303) 250-4291
Mailing address
5954 S QUATAR CT, AURORA, CO 80015-5015
(303) 250-4291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 32178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 032178
STATE LICIENCE
CA
01
—
PTL0011699
PHYISCAL THERAPY LICENSE
CO
Enumeration date
02/13/2007
Last updated
08/21/2012
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