Organization
ENLIVEN PHYSICAL THERAPY LLC
Active
Organization
ENLIVEN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARY EDGAR (AUTHORIZED OFFICIAL)
(480) 206-6240
Entity
Organization
Contact information
Practice address
20914 W GRANADA RD, BUCKEYE, AZ 85396-6582
(480) 923-9554
(480) 573-9556
Mailing address
20914 W GRANADA RD, BUCKEYE, AZ 85396-6582
(480) 923-9554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
10/07/2020
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