| |
9225 N. 3rd St., Suite 300, Phoenix, AZ 85020 | |
(602) 870-1821 | |
(602) 870-1824 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 9225 N. 3rd St., Phoenix, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720091382 | NPI | - | NPPES |
A0297910 | Other | AZ | AZ PROVIDER |
497009 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Arizona) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 3899 (Arizona) | Primary |
Mailing Address | Practice Location Address |
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9225 N. 3rd St., Suite 300, Phoenix, AZ 85020 Ph: (602) 870-1821 | 9225 N. 3rd St., Suite 300, Phoenix, AZ 85020 Ph: (602) 870-1821 |