Doctor Name: | JENNA MAHER |
NPI Number: | 1114371259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12102 |
Business Practice Address: | 17233 N Holmes Blvd Ste 1650 Phoenix, AZ - 850532030 |
Business Phone Number: | 6025471836 |
Business Fax Number: | 6025472806 |
Mailing Address: | 17233 N Holmes Blvd Ste 1650, PHOENIX |
State: | AZ |
Postal Code: | 850532030 |
Phone Number: | 6025471836 |
Fax Number: | 6025472806 |
NPI Enumeration Date: | 04/14/2016 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |