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Organization

PHYSIO SHOP FLAGSTAFF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON CHRISTOPHER DORSCH PT (MANAGING MEMBER/PHYISCAL THERAPIST)
(928) 214-7303
Entity
Organization

Contact information

Practice address
1510 S RIORDAN RANCH ST, FLAGSTAFF, AZ 86001-6372
(928) 214-7303
Mailing address
1510 S RIORDAN RANCH ST, FLAGSTAFF, AZ 86001-6372
(928) 214-7303

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
10/02/2024
Last updated
12/30/2024
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