NPI 1003425943
Jessica Medrano, PTA
Practice location
- Address
- 14154 S Denny Blvd, Litchfield Park, AZ 85340-9431
- Phone
- (623) 537-7500
- Mailing address
- 18041 W Young St, Surprise, AZ 85388-1617
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1003425943
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jul 2020
- Record last updated
- 27 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.