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Organization
SPOONER REHAB, PC
Active
Organization
SPOONER REHAB, PC
Active
Parent organization
SPOONER REHAB, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPOONER REHAB, PC
Authorized official
MR. SYLVIA MENDOZA (CREDENTIALING COORDINATOR)
(480) 551-4961
Entity
Organization
Contact information
Practice address
13352 N 83RD AVE, SUITE A-101, PEORIA, AZ 85381-4158
(623) 979-8900
(623) 979-1809
Mailing address
9097 E DESERT COVE AVE, SUITE 110, SCOTTSDALE, AZ 85260-6710
(480) 551-4961
(480) 860-0356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
06/18/2013
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