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Organization
STAR PHYSICAL THERAPY & FITNESS CENTER LLC
Active
Organization
STAR PHYSICAL THERAPY & FITNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT COREY ADDICOTT PT (OWNER)
(602) 896-1312
Entity
Organization
Contact information
Practice address
13231 N 35TH AVE, SUITE A2, PHOENIX, AZ 85029-1233
(602) 896-1312
(602) 896-4311
Mailing address
13231 N 35TH AVE, SUITE A2, PHOENIX, AZ 85029-1233
(602) 896-1312
(602) 896-4311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5198
AZ
Other
Enumeration date
07/10/2006
Last updated
06/14/2011
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