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Organization
VARSITY PHYSICAL THERAPY
Active
Organization
VARSITY PHYSICAL THERAPY
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
15720 N GREENWAY HAYDEN LOOP, SUITE 3, SCOTTSDALE, AZ 85260
(480) 991-0757
(480) 483-6550
Mailing address
4436 E MOUNTAIN VIEW RD, PHOENIX, AZ 85028
(480) 236-5360
(480) 483-6550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5471
AZ
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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