Organization
PHYSICAL REHABILITATION AND HAND CENTERS INC
Active
Other names
Mesa-Gilbert Physical Therapy and Hand Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C. BOUTELLE PT (OWNER/PRESIDENT)
(760) 591-7750
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD, STE 105, MESA, AZ 85206-4613
(480) 545-9611
(480) 545-9640
Mailing address
600 S ANDREASEN DR, STE C/D, ESCONDIDO, CA 92029-1917
(760) 591-7750
(760) 294-9813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
225X00000X
Occupational Therapist
—
AZ
225XH1200X
Hand Occupational Therapist
—
AZ
Other
Enumeration date
10/23/2006
Last updated
08/07/2007
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