Organization
DEROSA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE MARIE DEROSA PT (OWNER)
(928) 774-6626
Entity
Organization
Contact information
Practice address
1485 N. TURQUOISE DR, SUITE 220, FLAGSTAFF, AZ 86001
(928) 774-6626
(928) 214-3277
Mailing address
1485 N. TURQUOISE DR, SUITE 220, FLAGSTAFF, AZ 86001
(928) 774-6626
(928) 214-3277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
767
AZ
Other
Enumeration date
10/24/2006
Last updated
04/12/2011
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