Organization
CAMELBACK ADVANCED THERAPY LLC
Active
Other names
Camelback Advanced Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
4745 N 7TH ST STE 207, PHOENIX, AZ 85014-3667
(602) 898-4994
Mailing address
4745 N 7TH ST STE 207, PHOENIX, AZ 85014-3667
(602) 898-4994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/14/2025
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