Jennifer Halvorsen, PTA

NPI #1730591884 in Coolidge, Arizona

Provider Information

NPI Number: 1730591884
Entity Type: Individual
Name: Jennifer Halvorsen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: May 23, 2014
Last Updated: May 23, 2014

Practice Location

Address: 1491 N ARIZONA BLVD STE 109
City: Coolidge
State: Arizona
ZIP Code: 85128-3261
Phone: (520) 424-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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