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Organization
VARSITY PHYSICAL THERAPY, L.L.C.
Active
Organization
VARSITY PHYSICAL THERAPY, L.L.C.
Active
Other names
Varsity PT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES KEVIN CLARK PT (OWNER)
(480) 236-5360
Entity
Organization
Contact information
Practice address
10214 N TATUM BLVD, PHOENIX, AZ 85028-5216
(480) 264-6326
(480) 264-6328
Mailing address
10214 N TATUM BLVD, SUITE B-500, PHOENIX, AZ 85028-4231
(480) 264-6326
(480) 264-6328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5471
AZ
Other
Enumeration date
08/22/2008
Last updated
12/02/2008
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