Organization
360 PHYSICAL THERAPY LLC
Active
Parent organization
360 PHYSICAL THERAPY LLC
Other names
360 Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
360 PHYSICAL THERAPY LLC
Authorized official
CHERYL HUNNEL BRUNIN (VP OF REVENUE MANAGEMENT)
(480) 821-1997
Entity
Organization
Contact information
Practice address
11340 W BELL RD, SURPRISE, AZ 85378-9342
(623) 226-6644
(623) 522-4042
Mailing address
1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
(480) 821-1997
(480) 821-1887
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300502
—
AZ
Enumeration date
08/02/2021
Last updated
12/17/2021
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