Organization
AW 19TH AND CAMELBACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PAPANIA PT (OWNER/PARTNER)
(513) 910-5431
Entity
Organization
Contact information
Practice address
1951 W CAMELBACK RD STE 101, PHOENIX, AZ 85015-3483
(480) 396-2781
Mailing address
1951 W CAMELBACK RD STE 101, PHOENIX, AZ 85015-3483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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