Organization
WAV MOBILITY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RADACOSKY (PRESIDENT)
(602) 206-5334
Entity
Organization
Contact information
Practice address
875 W SPUR AVE, GILBERT, AZ 85233-6235
(602) 206-5334
(888) 346-2025
Mailing address
875 W SPUR AVE, GILBERT, AZ 85233-6235
(602) 206-5334
(888) 346-2025
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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