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Organization
STAT ORTHOPEDIC REHABILITATION INC
Active
Organization
STAT ORTHOPEDIC REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENO ROMAN RIVERA PTA (PRESIDENT)
(602) 571-4407
Entity
Organization
Contact information
Practice address
4247 E ROMA AVE, PHOENIX, AZ 85018-4250
(602) 571-4407
Mailing address
4247 E ROMA AVE, PHOENIX, AZ 85018-4250
(602) 571-4407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
09/23/2009
Last updated
12/17/2009
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