Individual
MRS. JENNIFER LYNN DISALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13055 W MCDOWELL RD STE G107, AVONDALE, AZ 85323-6450
(623) 547-4787
(623) 547-4788
Mailing address
14578 W CORTEZ ST, SURPRISE, AZ 85379-4431
(623) 537-9779
(623) 537-9779
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7504
AZ
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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