Organization
DYNAMIC REHAB HAND THERAPY, INC
Active
Other names
Dynamic Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE M MONACCIO OTR/L, CHT (OWNER)
(480) 980-1732
Entity
Organization
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 425, GILBERT, AZ 85234-2177
(480) 813-7900
(480) 813-7901
Mailing address
PO BOX 729, HIGLEY, AZ 85236-0729
(480) 813-7900
(480) 813-7901
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
1076
AZ
332BC3200X
Customized Equipment (DME)
Primary
1930
AZ
332BC3200X
Customized Equipment (DME)
2890
AZ
332BC3200X
Customized Equipment (DME)
3256
AZ
332BC3200X
Customized Equipment (DME)
669
AZ
Other
Enumeration date
08/05/2007
Last updated
05/01/2012
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