Organization
PHOENIX MOUNTAIN THERAPY LLC
Active
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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