Organization
LAUREN FISK
Active
Other names
RGBL
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON J TRIMMINGS (BILLING MANAGER)
(520) 461-4948
Entity
Organization
Contact information
Practice address
855 E WARNER RD STE 100, CHANDLER, AZ 85225-0998
(225) 439-7393
Mailing address
1385 E GRAND CANYON DR, CHANDLER, AZ 85249-5454
(225) 439-7393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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