Organization
IDEAL REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE FRITZ (DIRECTOR OF OPERATIONS)
(480) 222-0655
Entity
Organization
Contact information
Practice address
7558 W THUNDERBIRD RD, SUITE 1 PMB 408, PEORIA, AZ 85381-6080
(623) 398-8072
(480) 222-1457
Mailing address
PO BOX 269084, OKLAHOMA CITY, OK 73126-9084
(480) 222-0655
(480) 222-1457
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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