Jessica Medrano
Physical Therapy Assistant
14154 S Denny Blvd
Litchfield Park
, Arizona 85340-9431
Jessica Medrano
Physical Therapy Assistant
14154 S Denny Blvd
Litchfield Park
, Arizona 85340-9431
(623) 806-2257
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jessica Medrano
- 18041 W Young St
- Surprise, AZ
- Zip : 85388-1617
- Phone : (623) 806-2257
Second Address
- Jessica Medrano
- 14154 S Denny Blvd
- Litchfield Park, AZ
- Zip : 85340-9431
- Phone : (623) 537-7500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 013831 | AZ |
National Provider Identifier
| NPI | 1003425943 |
|---|---|
| Provider Name | Jessica Medrano |
| First Address | Surprise, AZ 85388-1617 |
| Second Address | Litchfield Park, AZ 85340-9431 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2020 |
| Last Update Date | 27/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.