Organization
FOOTHILLS SPORTS MEDICINE & REHABILITATION LITCHFIELD PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BLASIN P.T. (OWNER)
(623) 547-4739
Entity
Organization
Contact information
Practice address
5110 N DYSART RD, SUITE 148, LITCHFIELD PARK, AZ 85340-3058
(623) 547-4739
(623) 536-2154
Mailing address
5110 N DYSART RD, SUITE 148, LITCHFIELD PARK, AZ 85340-3058
(623) 547-4739
(623) 536-2154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
10/09/2007
Last updated
05/05/2022
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