Organization
PALO VERDE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DIEHL (OWNER)
(928) 758-0029
Entity
Organization
Contact information
Practice address
3003 HIWAY 95, STE 61, BULLHEAD CITY, AZ 86442-7896
(928) 758-0029
(928) 758-0055
Mailing address
3003 HIGHWAY 95, STE 61, BULLHEAD CITY, AZ 86442-7896
(928) 758-0029
(928) 758-0055
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1526
AZ
261QP2000X
Physical Therapy Clinic/Center
4214
AZ
Other
Enumeration date
06/15/2005
Last updated
10/31/2007
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