Individual
JEAN MARIE TRAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W NORTHERN AVE STE 110, GLENDALE, AZ 85301-1362
(623) 295-3699
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033576
AZ
225100000X
Physical Therapist
PT40792
FL
Other
Enumeration date
09/13/2023
Last updated
08/07/2024
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