Organization
LANDMARK PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L DISALVO MPT (OWNER/MEMBER)
(623) 229-4530
Entity
Organization
Contact information
Practice address
9364 E RAINTREE DR, SUITE 103, SCOTTSDALE, AZ 85260-2200
(480) 661-1124
(480) 661-1125
Mailing address
9364 E RAINTREE DR, SUITE 103, SCOTTSDALE, AZ 85260-2200
(480) 661-1124
(480) 661-1125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
795294
—
AZ
Enumeration date
02/17/2010
Last updated
08/20/2014
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