Individual
JENNIFER INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
775 E WILLETTA ST, PHOENIX, AZ 85006-2723
(480) 581-3900
Mailing address
4424 E TETHER TRL, PHOENIX, AZ 85050-8577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033444
AZ
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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