Organization
ARIZONA SPORTS PHYSICAL THERAPY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LYLE DERSCHEID PT (OWNER)
(480) 596-6999
Entity
Organization
Contact information
Practice address
5320 E SHEA BLVD, SCOTTSDALE, AZ 85254-5749
(480) 596-6999
(480) 596-9555
Mailing address
5320 E SHEA BLVD, SCOTTSDALE, AZ 85254-5749
(480) 596-6999
(480) 596-9555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Enumeration date
01/23/2006
Last updated
07/26/2007
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