Organization
COLORADO RIVER PHYSICAL THERAPY LLC
Active
Other names
Tri State Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HANZ TABORA PT,DPT (PHYSICAL THERAPIST/ OFFICER)
(928) 248-0444
Entity
Organization
Contact information
Practice address
1510 E WAGON WHEEL LN, FORT MOHAVE, AZ 86426-6697
(928) 788-3333
(928) 788-3555
Mailing address
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426-6698
(928) 248-0444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/21/2022
Last updated
09/29/2023
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