Organization
NORTHLAND RURAL THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS COSNER PT (OWNER)
(928) 779-1679
Entity
Organization
Contact information
Practice address
2224 E CEDAR AVE STE 1, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
Mailing address
2224 E CEDAR AVE STE 1, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SLP2202
AZ
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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