Organization
ALPHA AND OMEGA PHYSICAL THERAPY ACC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE COTTRELL (OFFICE MANAGER)
(623) 278-5835
Entity
Organization
Contact information
Practice address
861 E COOLEY ST # B, SHOW LOW, AZ 85901
(928) 537-2678
Mailing address
861 E COOLEY ST # B, SHOW LOW, AZ 85901-5121
(928) 537-2678
(866) 762-2534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543200
—
AZ
Enumeration date
10/15/2013
Last updated
11/08/2023
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