| B. Therapy Llc | |
|
4494 W Peoria Ave Ste 115a Glendale AZ 85302-2020 | |
| (314) 440-7583 | |
| Not Available |
| Full Name | B. Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4494 W Peoria Ave Ste 115a, Glendale, Arizona |
| Authorized Official Name and Position | Vicky Chavis (OWNER) |
| Authorized Official Contact | 3149134690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Therapy Llc 6968 W Palo Verde Dr Glendale AZ 85303-4405 Ph: (314) 913-4690 | B. Therapy Llc 4494 W Peoria Ave Ste 115a Glendale AZ 85302-2020 Ph: (314) 440-7583 |
| NPI Number | 1750099214 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 04/16/2023 |
| Medicare PECOS PAC ID | 2466820071 |
|---|---|
| Medicare Enrollment ID | O20231026004294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750099214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joseph Emmanuel Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558033969 PECOS PAC ID: 0244616472 Enrollment ID: I20220926002212 |
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