Organization
THE RAVEN PROJECT
Active
Other names
Preferred Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN NABHAN D (PRINCIPAL)
(928) 580-3642
Entity
Organization
Contact information
Practice address
235 E WARNER RD STE 104, GILBERT, AZ 85296-2972
(480) 633-3151
Mailing address
235 E WARNER RD STE 104, GILBERT, AZ 85296-2972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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