Organization
RESOURCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA MARIE HETRICK (OFFICE MANAGER)
(928) 639-3068
Entity
Organization
Contact information
Practice address
825 W MINGUS AVE, COTTONWOOD, AZ 86326-4088
(928) 639-3068
(928) 639-3346
Mailing address
PO BOX 2024, COTTONWOOD, AZ 86326-2024
(928) 639-3068
(928) 639-3346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
11/06/2007
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