Organization
PT ACTIVE CARE, PLLC
Active
Parent organization
PEORIA URGENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEORIA URGENT CARE
Authorized official
DENA HACKWORTH (CLINICAL DIRECTOR)
(623) 877-0100
Entity
Organization
Contact information
Practice address
8914 N 91ST AVE, PEORIA, AZ 85345-8390
(623) 877-0100
Mailing address
8914 N 91ST AVE, 100, PEORIA, AZ 85345-8390
(623) 877-0100
(623) 298-0656
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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