Most Relevant Information
Provider Data
| NPI Number: | 1003315110 |
| Provider Name: | TARANG KUMAR JAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11-03913 |
Most Important Dates
| Enumeration Date: | 02/03/2018 |
| Last Updated: | 02/03/2018 |
Provider Practice Location
208 PINE KNOLL DR BLDG 66
FLAGSTAFF
AZ
860110001
Practice Location Phone/Fax
| Phone: | 9285237305 |
| Fax: |
Provider Mailing Location
5303 E CORTLAND BLVD APT B7
FLAGSTAFF
AZ
860049567
Provider Mailing Phone/Fax
| Phone: | 9135299906 |
| Fax: |