Organization
BLUE HERON PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN SAWERT (PRESIDENT)
(212) 947-7039
Entity
Organization
Contact information
Practice address
3708 E RIPPLE RD, CAMP VERDE, AZ 86322-8102
(212) 947-7039
Mailing address
3708 E RIPPLE RD, CAMP VERDE, AZ 86322-8102
(212) 947-7039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1495
AZ
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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