Organization
ARIZONA ACTIVE AGING, LLC
Active
Other names
ACTIVE RX - SUN LAKES
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHARLES WEIDNER (OWNER)
(480) 361-2217
Entity
Organization
Contact information
Practice address
10440 E RIGGS RD, SUITE 120, SUN LAKES, AZ 85248-7751
(480) 361-2217
(480) 664-4223
Mailing address
10440 E RIGGS RD, SUITE 120, SUN LAKES, AZ 85248-7751
(480) 361-2217
(480) 664-4223
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
AZ
Other
Enumeration date
05/02/2012
Last updated
09/28/2012
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