Organization
LIBERATED REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY NICHOLSON DPT (OWNER)
(602) 460-8116
Entity
Organization
Contact information
Practice address
45359 W PAITILLA LN, MARICOPA, AZ 85139-6714
(602) 460-8116
Mailing address
45359 W PAITILLA LN, MARICOPA, AZ 85139-6714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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