# SPOONER PHYSICAL THERAPY & HAND REHAB PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPOONER PHYSICAL THERAPY & HAND REHAB PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255693289
- **Legal business name:** SPOONER PHYSICAL THERAPY & HAND REHAB PC
- **Authorized official:** TIMOTHY A SPOONER PT, FAFS (PRESIDENT/CEO)
- **Authorized official phone:** (480) 860-4298

## Contact information

- **Practice address:** 16515 S 40TH ST, STE 119 B, PHOENIX, AZ 85048-0558
- **Practice address phone:** (602) 224-9891
- **Practice address fax:** (602) 224-9808
- **Mailing address:** 9097 E DESERT COVE AVE, STE 110, SCOTTSDALE, AZ 85260-6710
- **Mailing address phone:** (480) 860-4298
- **Mailing address fax:** (480) 860-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 04/02/2013