IndividualActive
Jacob Medford
NPI 1497415475 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Tempe, AZ
Provider details
- NPI number
- 1497415475
- Entity type
- Individual
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1204 E Baseline Rd Ste 205
Tempe, AZ 85283-1453
Phone: (619) 708-1440
Mailing address
44276 W Neely Dr
Maricopa, AZ 85138-9427
Registry dates
- Enumerated
- 2021-12-18
- Last updated
- 2021-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.