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Organization
SPOONER PHOENIX PHYSICAL THERAPY, INC.
Active
Organization
SPOONER PHOENIX PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A SPOONER PT (PRESIDENT)
(480) 551-4961
Entity
Organization
Contact information
Practice address
303 E BASELINE RD, SUITE 110, PHOENIX, AZ 85042-6530
(602) 243-1476
(602) 243-1010
Mailing address
9097 E DESERT COVE AVE, SUITE 110, SCOTTSDALE, AZ 85260-6710
(480) 860-4298
(480) 860-0356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321509
—
AZ
Enumeration date
10/30/2012
Last updated
06/19/2013
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