Organization
SPINE & ORTHOPAEDIC PHYSICAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN B WYATT (OWNER)
(602) 540-8708
Entity
Organization
Contact information
Practice address
16601 N 40TH ST, SUITE 229, PHOENIX, AZ 85032-3345
(602) 540-8708
(602) 643-0038
Mailing address
16601 N 40TH ST, SUITE 229, PHOENIX, AZ 85032-3345
(602) 540-8708
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
07/07/2009
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