Jagged Rock Rehab Travelers

NPI #1700010154 in Yuma, Arizona

Provider Information

NPI Number
1700010154
Entity Type
Organization
Organization Name
Jagged Rock Rehab Travelers
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
May 13, 2009
Last Updated
May 13, 2009

Practice Location

Address
10667 S AVENUE 10 E # 46
City
Yuma
State
Arizona
ZIP Code
85365-7008
Phone
(605) 430-9361

Authorized Official

Name
MONIKA SHUMBOPOISSANT, OTR
Title
OWNER
Phone
(605) 430-9361

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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