Liberated Rehabilitation, Pllc | |
45359 W Paitilla Ln, Maricopa, AZ 85139-6714 | |
(602) 460-8116 | |
Not Available |
Full Name | Liberated Rehabilitation, Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 45359 W Paitilla Ln, Maricopa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306469374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jeffrey A Nicholson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326555178 PECOS PAC ID: 2961747399 Enrollment ID: I20181213000296 |
Provider Name | Megan Martinez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295415404 PECOS PAC ID: 2264886449 Enrollment ID: I20230921001009 |
Mailing Address | Practice Location Address |
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Liberated Rehabilitation, Pllc 45359 W Paitilla Ln, Maricopa, AZ 85139-6714 Ph: () - | Liberated Rehabilitation, Pllc 45359 W Paitilla Ln, Maricopa, AZ 85139-6714 Ph: (602) 460-8116 |
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Isaac Scott, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21300 N John Wayne Pkwy Ste 125, Maricopa, AZ 85139 Phone: 520-568-2723 Fax: 520-568-2865 | |
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Taylor L Jump, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20320 N John Wayne Pkwy Ste 120, Maricopa, AZ 85139 Phone: 520-635-2260 Fax: 520-564-3758 | |
Krupali Mewada, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21300 N John Wayne Pkwy Ste 125, Maricopa, AZ 85139 Phone: 520-568-2723 Fax: 520-568-2865 | |
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