MISS Jennifer Leigh Bancale, PTA

NPI #1295156479 in Yuma, Arizona

Provider Information

NPI Number: 1295156479
Entity Type: Individual
Name: MISS Jennifer Leigh Bancale, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 14, 2013
Last Updated: Dec 14, 2013

Practice Location

Address: 2851 S AVENUE B STE 2402
City: Yuma
State: Arizona
ZIP Code: 85364-7726
Phone: (800) 391-9477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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