| Aztherapytok, Llc | |
|
15331 W. Bell Road, Suite 212-19 Bonnie Dendooven Surprise AZ 85374-8537 | |
| (928) 231-2411 | |
| (928) 231-2411 |
| Full Name | Aztherapytok, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15331 W. Bell Road, Suite 212-19, Surprise, Arizona |
| Authorized Official Name and Position | Bonnie Den Dooven (ORGANIZING DIRECTOR) |
| Authorized Official Contact | 9282312411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aztherapytok, Llc 15331 W. Bell Road, Suite 212-19 Bonnie Dendooven Surprise AZ 85374-8537 Ph: (928) 231-2411 | Aztherapytok, Llc 15331 W. Bell Road, Suite 212-19 Bonnie Dendooven Surprise AZ 85374-8537 Ph: (928) 231-2411 |
| NPI Number | 1013616697 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013616697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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