Organization
AHWATUKEE PHYSICAL THERAPY INC
Active
Other names
Ahwatukee Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BURNESS DPT (PRESIDENT)
(480) 785-1043
Entity
Organization
Contact information
Practice address
4425 E AGAVE RD STE 100, PHOENIX, AZ 85044-0620
(480) 785-1043
(480) 785-1124
Mailing address
4425 E AGAVE RD STE 100, PHOENIX, AZ 85044-0620
(480) 785-1043
(480) 785-1124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
AZ
Enumeration date
12/01/2011
Last updated
03/09/2020
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