Organization
ABC PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCIA VIRGA (OFFICE MANAGER)
(480) 726-0000
Entity
Organization
Contact information
Practice address
3440 S OLEANDER DR, CHANDLER, AZ 85248-3655
(480) 726-0000
(480) 726-9999
Mailing address
3440 S OLEANDER DR, CHANDLER, AZ 85248-3655
(480) 726-0000
(480) 726-9999
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/26/2006
Last updated
02/09/2011
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