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Organization

DIAMONDBACK PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAINEY H. GARRRISON (BUSINESS MANAGER)
(480) 632-6667
Entity
Organization

Contact information

Practice address
323 S GILBERT RD, SUITE # 115, GILBERT, AZ 85296-1602
(480) 632-6667
(480) 632-6668
Mailing address
323 S GILBERT RD, SUITE # 115, GILBERT, AZ 85296-1602
(480) 632-6667
(480) 632-6668

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
484444
AZ
Enumeration date
09/21/2005
Last updated
01/31/2008
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