Organization
AHWATUKEE PHYSICAL THERAPY INC
Active
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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