Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE KINDER (PHYSICAL THERAPIST)
(602) 567-9881
Entity
Organization
Contact information
Practice address
4720 E COTTON GIN LOOP, STE. 140, PHOENIX, AZ 85040-8858
(602) 567-9881
Mailing address
4720 E. COTTON GIN LOOP, STE. 140, PHOENIX, AZ 85040
(602) 567-9881
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
3470
AZ
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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