Individual
COBY MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4360 E BROWN RD, SUITE 111, MESA, AZ 85205-4084
(480) 222-0655
(480) 222-1457
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12726
AZ
Other
Enumeration date
12/23/2016
Last updated
05/05/2017
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