Organization
MONTY OWEN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTY A OWEN PT (OWNER)
(480) 854-9833
Entity
Organization
Contact information
Practice address
4323 E BROADWAY RD STE 106, MESA, AZ 85206-3506
(480) 854-9833
(480) 854-9834
Mailing address
4323 E BROADWAY RD STE 106, MESA, AZ 85206-3506
(480) 854-9833
(480) 854-9834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2989
AZ
Other
Enumeration date
12/30/2015
Last updated
01/05/2016
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