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Individual

JONELLE WARTENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3401 LOCKWOOD DR, LAKESIDE, AZ 85929-5613
(928) 368-2060
Mailing address
3401 LOCKWOOD DR, LAKESIDE, AZ 85929-5613

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10581A
AZ

Other

Enumeration date
02/03/2015
Last updated
02/03/2015
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