Organization
SELECT PHYSICAL THERAPY
Active
Parent organization
SELECT MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL CORPORATION
Authorized official
JESSICA MARIE KWIATKOWSKI P.T., DPT (PHYSICAL THERAPIST)
(480) 373-9700
Entity
Organization
Contact information
Practice address
2853 S SOSSAMAN RD, SUITE A106, MESA, AZ 85212-9625
(480) 373-9700
Mailing address
2853 S SOSSAMAN RD, SUITE A106, MESA, AZ 85212-9625
(480) 373-9700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8711
AZ
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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