# LIFEQUEST PHYSICAL MEDICINE AND REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gilbert Recker 3, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710592571
- **Authorized official:** SUSIE DWYER (BILLING SPECIALIST)
- **Authorized official phone:** (480) 659-2000

## Contact information

- **Practice address:** 4049 E. WILLIAMS FIELD RD. SUITE 101, GILBERT, AZ 85295
- **Practice address phone:** (480) 659-2000
- **Mailing address:** 4049 E. WILLIAMS FIELD RD. SUITE 101, GILBERT, AZ 85295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2020
- **Last updated:** 09/28/2020