Organization
KILLEEN THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M KILLEEN (PRESIDENT)
(623) 341-0016
Entity
Organization
Contact information
Practice address
19047 N 76TH AVE, GLENDALE, AZ 85308-8304
(623) 561-0499
Mailing address
19047 N 76TH AVE, GLENDALE, AZ 85308-8304
(623) 341-0016
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
02/05/2015
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