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Organization
INTEGRATED TRINITY REHABILITATION PLLC
Active
Organization
INTEGRATED TRINITY REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADY BOUTROS MD (PRESIDENT)
(909) 331-1602
Entity
Organization
Contact information
Practice address
901 W 24TH ST, YUMA, AZ 85364-6384
(928) 726-5000
Mailing address
2222 S 4TH AVE UNIT 5537, YUMA, AZ 85366-3559
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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