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Organization
CAMELBACK ADVANCED THERAPY LLC
Active
Organization
CAMELBACK ADVANCED THERAPY LLC
Active
Other names
Camelback Advanced Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
4745 N 7TH ST STE 207, PHOENIX, AZ 85014-3667
(602) 898-4994
Mailing address
4745 N 7TH ST STE 207, PHOENIX, AZ 85014-3667
(602) 898-4994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/14/2025
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