Organization
PHOENIX MOUNTAIN THERAPY LLC
Active
Other names
Phoenix Mountain Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
7370 E GOLD DUST AVE RM 212, SCOTTSDALE, AZ 85258-1025
(602) 816-3924
(480) 701-9773
Mailing address
7370 E GOLD DUST AVE RM 212, SCOTTSDALE, AZ 85258-1025
(602) 816-3924
(480) 701-9773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/14/2025
Last updated
02/10/2026
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