Individual
JAMIE N KAMON-BRANCAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1695 MESQUITE AVE, SUITE 106, LAKE HAVASU CITY, AZ 86403-5678
(928) 680-2639
(928) 680-2626
Mailing address
3181 LONGVIEW DR, LAKE HAVASU CITY, AZ 86406-9046
(928) 453-1974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6192
AZ
Other
Enumeration date
04/23/2007
Last updated
07/18/2008
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