Organization
FOUNDATIONAL PHYSICAL THERAPY LLC
Active
Other names
Chandler Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC S CHRISTENSEN DPT (OWNER DIRECTOR)
(480) 786-4969
Entity
Organization
Contact information
Practice address
5590 W CHANDLER BLVD, BLDG B STE 4, CHANDLER, AZ 85226-3697
(480) 786-4969
(480) 786-5118
Mailing address
5590 W CHANDLER BLVD, BLDG B STE 4, CHANDLER, AZ 85226-3697
(480) 786-4969
(480) 786-5118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
225XH1200X
Hand Occupational Therapist
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
AZ
Enumeration date
10/26/2011
Last updated
02/29/2012
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