Organization
ALLEGIANT THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SEGURA (OWNER)
(480) 913-0053
Entity
Organization
Contact information
Practice address
3406 W MALDONADO RD, PHOENIX, AZ 85041-6318
(480) 913-0053
Mailing address
3406 W MALDONADO RD, PHOENIX, AZ 85041-6318
(480) 913-0053
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
02/07/2024
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