Individual
JACOB MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3540 E BASELINE RD STE 103, PHOENIX, AZ 85042-9628
(602) 243-1476
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(480) 551-4948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033719
AZ
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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