Individual
JOHN RODERICK BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14581 W PARKWOOD DR, SURPRISE, AZ 85374-3600
(623) 253-1228
Mailing address
7602 N 177TH AVE, WADDELL, AZ 85355-9384
(623) 208-3731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-008267
AZ
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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