Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R SAMUEL ANDERSON PT, DPT, OCS (OWNER, PRESIDENT)
(480) 833-7879
Entity
Organization
Contact information
Practice address
1500 S DOBSON RD STE 314, MESA, AZ 85202-4752
(480) 833-7879
(480) 844-8411
Mailing address
1500 S DOBSON RD STE 314, MESA, AZ 85202-4752
(480) 833-7879
(480) 844-8411
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
778,1328,5237
AZ
Other
Enumeration date
08/08/2006
Last updated
08/20/2010
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