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Organization
WHITE TANKS PHYSICAL THERAPY & ORTHO REHAB
Active
Organization
WHITE TANKS PHYSICAL THERAPY & ORTHO REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH G LUJAN (BILLING REPRESENTATIVE)
(623) 882-9787
Entity
Organization
Contact information
Practice address
WHITE TANKS PHYSICAL THERAPY AND ORTHO REHAB LLC, 250 N LITCHFIELD RD STE 155, GOODYEAR, AZ 85338
(623) 882-9787
(623) 882-9791
Mailing address
2882 W GAIL DR, CHANDLER, AZ 85224-3963
(480) 704-0475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6122
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
916190
AHCCCS
AZ
Enumeration date
07/29/2005
Last updated
08/22/2020
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