Organization
ALPHA AND OMEGA PHYSICAL THERAPY ACC
Active
Organization
ALPHA AND OMEGA PHYSICAL THERAPY ACC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE COTTRELL (OFFICE ADMIN)
(623) 278-5835
Entity
Organization
Contact information
Practice address
861 E COOLEY ST B, SHOW LOW, AZ 85901-5121
(928) 537-2678
Mailing address
PO BOX 457, 861 E COOLEY ST B, SHOW LOW, AZ 85901-5121
(928) 207-6873
(866) 762-2534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z78176
PTAN
AZ
Enumeration date
02/02/2006
Last updated
11/17/2023
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