Organization
ELEVATED PHYSICAL THERAPY AND MOVEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DEROSA DPT (PHYSICAL THERAPIST)
(928) 220-7504
Entity
Organization
Contact information
Practice address
2529 E 7TH AVE, FLAGSTAFF, AZ 86004-3722
(928) 220-7504
Mailing address
2797 W PICO DEL MONTE CIR, FLAGSTAFF, AZ 86001-9199
(928) 607-4037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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