Individual
JIM W ROARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
40601 N GANTZEL RD STE 103, SAN TAN VALLEY, AZ 85140-7036
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8942
AZ
Other
Enumeration date
02/05/2008
Last updated
04/26/2022
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