Madison Jean Ewing, PT, DPT

NPI #1710607445 in Peridot, Arizona

Provider Information

NPI Number: 1710607445
Entity Type: Individual
Name: Madison Jean Ewing, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Sep 1, 2022
Last Updated: Sep 1, 2022

Practice Location

Address: 103 MEDICINE WAY RD
City: Peridot
State: Arizona
ZIP Code: 85542-5000
Phone: (928) 475-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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