Organization
MEDICAL MALL OF ARIZONA
Active
Other names
Medical Mall of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE SMITH OTR/L (MEMBER)
(480) 999-0049
Entity
Organization
Contact information
Practice address
8035 E BROWN RD BLDG 4, MESA, AZ 85207-3902
(480) 999-0049
Mailing address
4902 S VAL VISTA DR, SUITE B106, GILBERT, AZ 85298-7325
(480) 999-0049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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