Individual
MISS JAIME SUE MOLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3532 W THOMAS RD, PHOENIX, AZ 85019-4440
(602) 272-7662
Mailing address
1522 E SOUTHERN AVE, APT 1006, TEMPE, AZ 85282-5689
(616) 460-2133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7639A
AZ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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