Individual
RUSSELL JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4050 E COTTON CENTER BLVD, PHOENIX, AZ 85040-8861
(480) 795-7330
(602) 296-5622
Mailing address
13304 W STELLA LN, LITCHFIELD PARK, AZ 85340-5387
(602) 619-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-003354
AZ
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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