# 360 PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 360 Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841712908
- **Authorized official:** CHERYL BRUNIN (VP OF BILLING OPERATIONS)
- **Authorized official phone:** (480) 821-1997

## Contact information

- **Practice address:** 6630 W CACTUS RD STE B112, GLENDALE, AZ 85304-1662
- **Practice address phone:** (480) 821-1997
- **Practice address fax:** (480) 782-5213
- **Mailing address:** 1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
- **Mailing address phone:** (480) 821-1997
- **Mailing address fax:** (480) 782-5213

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 06/16/2018