Organization
SHANGRI-LA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ERIKA M SLOVER PT (OWNER PHYSICAL THERAPIST)
(520) 826-3222
Entity
Organization
Contact information
Practice address
105 FRONTAGE RD, STE F, PEARCE, AZ 85625
(520) 826-3222
(520) 826-3222
Mailing address
PO BOX 304, PEARCE, AZ 85625-0304
(520) 826-3222
(520) 826-3222
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1500
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783078
—
AZ
Enumeration date
07/30/2007
Last updated
08/14/2008
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