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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up