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Organization
SELF SOLACE PHYSICAL THERAPY, INC
Active
Organization
SELF SOLACE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA STICKLE (BILLING MANAGER)
(480) 993-5993
Entity
Organization
Contact information
Practice address
16515 S 40TH ST, SUITE 133, PHOENIX, AZ 85048-0558
(480) 704-6133
Mailing address
16044 S 18TH AVE, PHOENIX, AZ 85045-1752
(602) 206-8261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6572
AZ
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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