Organization
NEUROLOGICAL REHABILITATION CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT COMPTON D.C. (OWNER)
(480) 497-3750
Entity
Organization
Contact information
Practice address
1337 S GILBERT RD STE 105, MESA, AZ 85204-6074
(480) 497-3750
(480) 635-1719
Mailing address
1337 S GILBERT RD STE 105, MESA, AZ 85204-6074
(480) 497-3750
(480) 635-1719
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
8119
AZ
261QR0400X
Rehabilitation Clinic/Center
Primary
8119
AZ
Other
Enumeration date
05/17/2010
Last updated
05/21/2010
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