Organization
ABOVE & BEYOND THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J LONG PT (OWNER/PT)
(602) 866-2231
Entity
Organization
Contact information
Practice address
3233 W PEORIA AVE, SUITE 224, PHOENIX, AZ 85029-4614
(602) 866-2231
(602) 866-2261
Mailing address
3233 W PEORIA AVE, SUITE 224, PHOENIX, AZ 85029-4614
(602) 866-2231
(602) 866-2261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
AZ
261QP2000X
Physical Therapy Clinic/Center
Primary
—
AZ
261QR0400X
Rehabilitation Clinic/Center
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637689
—
AZ
Enumeration date
08/26/2005
Last updated
01/19/2012
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