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Organization
THERASPORT LLC
Active
Organization
THERASPORT LLC
Active
Other names
Brown Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C. BROWN P.T (OWNER DIRECTOR)
(480) 596-3371
Entity
Organization
Contact information
Practice address
15950 N 76TH ST, SUITE 105, SCOTTSDALE, AZ 85260-1882
(480) 596-3371
(480) 596-3849
Mailing address
15950 N 76TH ST, SUITE 105, SCOTTSDALE, AZ 85260-1882
(480) 596-3371
(480) 596-3849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1702610
UNITED
AZ
01
—
1Z3060
HEALTH NET
AZ
01
—
5194022
AETNA
AZ
01
—
AZ0294640
BLUE CROSS BLUE SHIELD
AZ
01
—
Z101157
MEDICARE
AZ
Enumeration date
04/21/2006
Last updated
10/27/2008
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