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Organization

ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC

Active
Parent organization
ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
Authorized official
RYANN P ROBERTS DPT (OWNER)
(623) 242-6908
Entity
Organization

Contact information

Practice address
2302 N 15TH AVE, PHOENIX, AZ 85007-1201
(623) 242-6908
(623) 242-6909
Mailing address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9218
(623) 242-6908
(623) 242-6909

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156886
AZ
Enumeration date
10/23/2019
Last updated
10/23/2019
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