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Organization
SUNNY PHYSICAL THERAPY LLC
Active
Organization
SUNNY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA S. GOODWIN MPT (EXECUTOR)
(928) 542-3233
Entity
Organization
Contact information
Practice address
8450 OLIVE AVE, MOHAVE VALLEY, AZ 86440-9214
(928) 768-2507
Mailing address
PO BOX 5474, MOHAVE VALLEY, AZ 86446-5474
(928) 542-3233
(928) 788-4232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
968919
AHCCCS ID NUMBER
AZ
Enumeration date
02/12/2007
Last updated
08/22/2020
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