Individual provider · Type 1 NPI

Jacob Medford

Comprehensive Outpatient Rehabilitation Facility (CORF) · Tempe, AZ

NPI number 1497415475 Active

Practice location

1204 E Baseline Rd Ste 205
Tempe, AZ 85283-1453

Call (619) 708-1440 Map

Mailing address

44276 W Neely Dr
Maricopa, AZ 85138-9427

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401XNone listed

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

Another provider at this address

Other comprehensive outpatient rehabilitation facility (corf) providers in Tempe

See all in Tempe →

About NPI 1497415475

Jacob Medford's National Provider Identifier is 1497415475, issued on Dec 18, 2021. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Tempe, AZ. The record was last updated on Dec 18, 2021.