Organization
MESA HEALTH IMPROVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
N DOUGLASS ANDERSON PT (OWNER)
(480) 325-8838
Entity
Organization
Contact information
Practice address
6343 E MAIN ST, SUITE 8, MESA, AZ 85205-8954
(480) 325-8838
(480) 325-9191
Mailing address
6343 E MAIN ST, SUITE 8, MESA, AZ 85205-8954
(480) 325-8838
(480) 325-9191
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC4110
AZ
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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