Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 9850 | AZ |
NPI | 1003248493 |
---|---|
Provider Name | Allison Christine Jenkins |
First Address | Sun Lakes, AZ 85248-6453 |
Second Address | Sun Lakes, AZ 85248-6453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2013 |
Last Update Date | 11/02/2016 |