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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