Organization
BRIGHT HORIZON REHAB THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSARIO FASANO (OWNER/MEMBER)
(623) 334-5299
Entity
Organization
Contact information
Practice address
8718 W DEER VALLEY RD, PEORIA, AZ 85382-2453
(623) 334-5299
(480) 635-0222
Mailing address
PO BOX 2477, GILBERT, AZ 85299-2477
(623) 334-5299
(480) 635-0222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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