Individual
JESSICA KEELER TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OCS
Contact information
Practice address
20830 N TATUM BLVD, SUITE 115, PHOENIX, AZ 85050-7256
(480) 473-1200
(480) 473-1250
Mailing address
20940 N TATUM BLVD, SUITE B-200, PHOENIX, AZ 85050-4265
(602) 483-1710
(480) 272-7793
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10215
AZ
2251X0800X
Orthopedic Physical Therapist
38629
CA
Other
Enumeration date
02/08/2012
Last updated
10/02/2015
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