| |
123 N Centennial Way Ste 150, Mesa, AZ 85201-6689 | |
(480) 695-2881 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Home Health |
Location | 123 N Centennial Way Ste 150, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235885765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
251E00000X | Home Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
123 N Centennial Way Ste 150, Mesa, AZ 85201-6689 Ph: (480) 695-2881 | 123 N Centennial Way Ste 150, Mesa, AZ 85201-6689 Ph: (480) 695-2881 |