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NPI Code Detail

MEDICARE: JONNY SUE PERKINS-SNYDER P.T.

MEDICARE: JONNY SUE PERKINS-SNYDER P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1069AZ

General Provider Information

NPI Number : 1588618243
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONNY SUE PERKINS-SNYDER P.T.
Provider Business Mailing Address
First Line : 6950 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1017
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-3287
Provider Business Practice Location Address
First Line : 6950 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1017
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-3287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 10/04/2021

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