Individual
JENNIFER BAZAN-WIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4343 N ORACLE RD STE 173, TUCSON, AZ 85705-1764
(520) 591-5346
(888) 780-0154
Mailing address
4343 N ORACLE RD STE 173, TUCSON, AZ 85705-1764
(520) 591-5346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9083
AZ
Other
Enumeration date
09/04/2015
Last updated
10/05/2020
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