Organization
AGAPE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ALESKY (MANAGER)
(623) 561-1300
Entity
Organization
Contact information
Practice address
6520 W HAPPY VALLEY RD, B-109, GLENDALE, AZ 85310-2615
(623) 561-1300
(623) 561-0036
Mailing address
6520 W HAPPY VALLEY RD, B-109, GLENDALE, AZ 85310-2615
(623) 561-1300
(623) 561-0036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3353
AZ
225100000X
Physical Therapist
6233
AZ
2251S0007X
Sports Physical Therapist
6233
AZ
225X00000X
Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
03/03/2010
Last updated
12/21/2011
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