Agestrong Mirabella Asu | |
65 E University Dr, Tempe, AZ 85281-1091 | |
(971) 206-5200 | |
Not Available |
Full Name | Agestrong Mirabella Asu |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 65 E University Dr, Tempe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407523657 | NPI | - | NPPES |
Provider Name | Lindsey G Deyoung |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013349224 PECOS PAC ID: 6608004098 Enrollment ID: I20140109001552 |
Provider Name | Cori A Misner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982183307 PECOS PAC ID: 7517217656 Enrollment ID: I20180911001098 |
Provider Name | Patrick Podrazik |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1497936348 PECOS PAC ID: 3870983836 Enrollment ID: I20211206001747 |
Provider Name | Kayla Renee Moroney |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356935357 PECOS PAC ID: 3971993940 Enrollment ID: I20211206002123 |
Provider Name | Annalyce Manka |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669191953 PECOS PAC ID: 4183008394 Enrollment ID: I20220907000460 |
Provider Name | Shweta Subramani |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417400383 PECOS PAC ID: 8729414545 Enrollment ID: I20220927001250 |
Provider Name | Jeanette Bustamante |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134883259 PECOS PAC ID: 3577949809 Enrollment ID: I20221010002639 |
Provider Name | Jacqueline Faith Conway |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124736194 PECOS PAC ID: 5496123515 Enrollment ID: I20221122000413 |
Provider Name | Emmah M Spahr |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831832898 PECOS PAC ID: 9234500133 Enrollment ID: I20230131001806 |
Provider Name | Xianhao Peng |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932683893 PECOS PAC ID: 0648642389 Enrollment ID: I20230207001279 |
Provider Name | Jolene Knee |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780126227 PECOS PAC ID: 8325407513 Enrollment ID: I20230706002026 |
Provider Name | Julianne Bird |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134371842 PECOS PAC ID: 8527427392 Enrollment ID: I20230711004074 |
Provider Name | Soliz Perez-rivera |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457901407 PECOS PAC ID: 6204291446 Enrollment ID: I20231003001596 |
Provider Name | Brianna Buckner |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1932768892 PECOS PAC ID: 6103271663 Enrollment ID: I20231018002924 |
Provider Name | Dhanvi Amin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245754142 PECOS PAC ID: 1052763125 Enrollment ID: I20240115001108 |
Mailing Address | Practice Location Address |
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Agestrong Mirabella Asu 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: (971) 206-5200 | Agestrong Mirabella Asu 65 E University Dr, Tempe, AZ 85281-1091 Ph: (971) 206-5200 |