Individual
JESSICA QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5440 E SOUTHERN AVE STE 101, MESA, AZ 85206-2779
(480) 641-3533
Mailing address
105 GETTYSBURG CT, DITTMER, MO 63023-1809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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