Provider Demographics
NPI:1912382284
Name:JEAN PHILIPPE, ALETHEA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALETHEA
Middle Name:
Last Name:JEAN PHILIPPE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALETHEA
Other - Middle Name:
Other - Last Name:DELGADILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:755 E MCDOWELL RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2506
Mailing Address - Country:US
Mailing Address - Phone:602-521-3060
Mailing Address - Fax:602-521-3066
Practice Address - Street 1:755 E MCDOWELL RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2506
Practice Address - Country:US
Practice Address - Phone:602-521-3060
Practice Address - Fax:602-521-3066
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist