Organization
SAGUARO THERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEG WAGNER RODNEY P.T. (PHYSICAL THERAPIST)
(928) 210-2413
Entity
Organization
Contact information
Practice address
1695 W 24TH ST, YUMA, AZ 85364-6205
(928) 210-2339
(928) 819-7019
Mailing address
1224 S 41ST DR, YUMA, AZ 85364-4075
(928) 210-2413
(928) 819-7019
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5016
AZ
235Z00000X
Speech-Language Pathologist
SLP0892
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465113
—
AZ
05
—
515380
—
AZ
05
—
576085
—
AZ
01
—
AZ0299630
BCBS
AZ
Enumeration date
12/07/2006
Last updated
03/21/2008
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