# ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043853906
- **Legal business name:** ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
- **Authorized official:** RYANN P ROBERTS DPT (OWNER)
- **Authorized official phone:** (623) 242-6908

## Contact information

- **Practice address:** 2302 N 15TH AVE, PHOENIX, AZ 85007-1201
- **Practice address phone:** (623) 242-6908
- **Practice address fax:** (623) 242-6909
- **Mailing address:** 14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9218
- **Mailing address phone:** (623) 242-6908
- **Mailing address fax:** (623) 242-6909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019