Individual
MR. JERALD SHAWN BLEACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,MSPT
Contact information
Practice address
1166 S GILBERT RD, STE. 118, GILBERT, AZ 85296-3460
(148) 050-7202
(480) 539-4748
Mailing address
1166 S GILBERT RD, STE. 118, GILBERT, AZ 85296-3460
(148) 050-7202
(480) 539-4748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
011759
OH
225100000X
Physical Therapist
Primary
4328
AZ
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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