Organization
HOME HEALTH SERVICES, PLLC
Active
Other names
Midstate Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG WESLEY POTTER P.T. (LICENSED PHYSICAL THERAPIST)
(623) 363-8691
Entity
Organization
Contact information
Practice address
19375 E. OASIS, BLACK CANYON CITY, AZ 85324
(623) 363-8691
Mailing address
3628 W AIDAN LN, ANTHEM, AZ 85086-3773
(623) 363-8691
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3297
AZ
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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