Organization
WING NEUROLOGICAL REHABILITATION
Active
Other names
SWAN Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K WING PT, DPT, NCS, GCS (OWNER)
(602) 393-0520
Entity
Organization
Contact information
Practice address
1190 E MISSOURI AVE, 100, PHOENIX, AZ 85014-2734
(602) 393-0520
Mailing address
1190 E MISSOURI AVE, 100, PHOENIX, AZ 85014-2734
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9521
AZ
Other
Enumeration date
10/14/2011
Last updated
10/18/2011
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