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Organization
SPORTS MEDICINE INSTITUTE INC
Active
Organization
SPORTS MEDICINE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L OAKESON P.T. (DIRECTOR)
(602) 938-9696
Entity
Organization
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE B-1, GLENDALE, AZ 85306-4636
(602) 938-9696
(602) 789-0668
Mailing address
PO BOX 1149, PEORIA, AZ 85380-1149
(602) 938-9696
(602) 789-0668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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