Organization
FORT MOHAVE PHYSICAL THERAPY INC
Active
Organization
FORT MOHAVE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEA MONTGOMERY P.T. (OWNER)
(928) 577-0336
Entity
Organization
Contact information
Practice address
5902 S HIGHWAY 95, SUITE 102, FORT MOHAVE, AZ 86426-6078
(928) 577-0336
(928) 577-0337
Mailing address
1750 HIGHWAY 95, SUITE 3, BULLHEAD CITY, AZ 86442-6978
(928) 577-0336
(928) 577-0337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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