Organization
PALADINO PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON B PALADINO PT, ATC (CEO)
(623) 824-2785
Entity
Organization
Contact information
Practice address
9049 W LAKE PLEASANT PKWY, PEORIA, AZ 85382-8361
(623) 824-2785
(623) 518-2997
Mailing address
12861 W PALO BREA LN, PEORIA, AZ 85383-4419
(623) 824-2785
(623) 518-2997
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6812
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003848680
AZ
AZ
Enumeration date
09/20/2017
Last updated
03/17/2018
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