Doctor Name: | JAMIE N KAMON-BRANCAZIO |
NPI Number: | 1760600183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 6192 |
Business Practice Address: | 1695 Mesquite Ave Suite 106 Lake Havasu City, AZ - 864035678 |
Business Phone Number: | 9286802639 |
Business Fax Number: | 9286802626 |
Mailing Address: | 3181 Longview Dr, LAKE HAVASU CITY |
State: | AZ |
Postal Code: | 864069046 |
Phone Number: | 9284531974 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6192 |
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 |