Organization
EVEREST PHYSICAL THERAPY LLC
Active
Other names
Everest Performance
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV KHANAL PT, DPT (MEMBER)
(480) 434-0240
Entity
Organization
Contact information
Practice address
7555 S PARKCREST ST, GILBERT, AZ 85298-0125
(480) 434-0240
Mailing address
8055 E THOMAS RD UNIT C108, SCOTTSDALE, AZ 85251-6635
(480) 434-0240
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295351690
NPI NUMBER INDIVIDUAL
—
Enumeration date
07/31/2020
Last updated
07/31/2020
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