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Organization
360 PHYSICAL THERAPY LLC
Active
Organization
360 PHYSICAL THERAPY LLC
Active
Other names
360 Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BRUNIN (VP OF BILLING OPERATIONS)
(480) 821-1997
Entity
Organization
Contact information
Practice address
6630 W CACTUS RD STE B112, GLENDALE, AZ 85304-1662
(480) 821-1997
(480) 782-5213
Mailing address
1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
(480) 821-1997
(480) 782-5213
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
06/16/2018
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