Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2525 S RURAL RD STE 5S, TEMPE, AZ 85282-2444
(480) 921-9000
Mailing address
2525 S RURAL RD STE 5S, TEMPE, AZ 85282-2444
(480) 921-9000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30224
AZ STATE LICENSE
AZ
Enumeration date
08/29/2018
Last updated
08/29/2018
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