Organization
TEAM MAKENA LLC
Active
Other names
Restore Motion
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS SERRANO (OPERATIONS MANAGER)
(800) 996-4001
Entity
Organization
Contact information
Practice address
3702 E ROESER RD, 4, PHOENIX, AZ 85040-9046
(949) 474-1753
(949) 251-5120
Mailing address
27051 TOWNE CENTRE DRIVE, 180, FOOTHILL RANCH, CA 92610-2819
(949) 474-1753
(949) 251-5120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20288413
AZ
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/28/2017
Last updated
03/24/2025
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