Organization
NIKAO PERFORMANCE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GULLEDGE DO (OWNER)
(480) 524-0321
Entity
Organization
Contact information
Practice address
2121 S MILL AVE STE 209, TEMPE, AZ 85282-2136
(480) 524-0321
(480) 420-4139
Mailing address
PO BOX 60481, PHOENIX, AZ 85082-0481
(480) 524-0321
(480) 420-4139
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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