Organization
MIRANDA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID AARON MIRANDA MPT (OWNER)
(602) 249-0607
Entity
Organization
Contact information
Practice address
5815 N. BLACK CYN HWY, 100, PHOENIX, AZ 85015-2200
(602) 249-0607
(602) 249-0741
Mailing address
5815 N. BLACK CYN HWY, 100, PHOENIX, AZ 85015-2200
(602) 249-0607
(602) 249-0741
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5061
AZ
Other
Enumeration date
01/07/2008
Last updated
10/11/2011
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