| Doctor Name: | JESSICA L ABOULHOSN |
| NPI Number: | 1609120351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 10062 |
| Business Practice Address: | 7208 E. Cave Creek Road Suite H Carefree, AZ - 85377 |
| Business Phone Number: | 4804889095 |
| Business Fax Number: | 4804882862 |
| Mailing Address: | Po Box 5924, 7208 E. Cave Creek Rd CAREFREE |
| State: | AZ |
| Postal Code: | 853775924 |
| Phone Number: | 4804889095 |
| Fax Number: | 4804882862 |
| NPI Enumeration Date: | 11/02/2012 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 10062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |