JACOB DALTON PISTOL MILLS

QUEEN CREEK, AZ
NPI1538982061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  014294)
Enumeration Date2024-11-04
Last Update Date2024-11-04
Business Address
JACOB DALTON PISTOL MILLS PTA
21576 S ELLSWORTH LOOP RD STE 108
QUEEN CREEK, AZ 85142-1068
Phone number: 602-737-2275
Mailing Address
JACOB DALTON PISTOL MILLS PTA
552 W LOVE RD
SAN TAN VALLEY, AZ 85143-4808
Phone number: 480-694-2245