Organization
EXPERIENCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIN R BROOKS PT (OWNER)
(480) 234-4664
Entity
Organization
Contact information
Practice address
2510 E HUNT HWY STE 26-27, SAN TAN VALLEY, AZ 85143-5206
(480) 234-4464
Mailing address
2510 E HUNT HWY STE 26-27, SAN TAN VALLEY, AZ 85143-5206
(480) 234-4664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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