Jeffrey Michael Landram, PT, DPT
Physical Therapist in Buckeye, AZ. Individual provider (NPI-1).
NPI number1639793003
StatusActive
Last updated in NPPESJun 2, 2020
Details
- NPI
- 1639793003
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Michael Landram
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2020
- Certification date
- Jun 2, 2020
- Last updated
- Jun 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | LPT-31279 | AZ | Yes |
Practice location
23374 W Yuma Rd Ste 104Buckeye, AZ 85326-3120
Phone 623-242-6908
Mailing address
3924 W Lone Cactus DrGlendale, AZ 85308-4718
Phone 602-540-5670
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All 31 Physical Therapist providers in Buckeye · All 796 providers in Buckeye
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