Organization
KIDS POSSIBLE THERAPY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A BROWN PT (OWNER PHYSICAL THERAPIST)
(623) 910-2398
Entity
Organization
Contact information
Practice address
7009 W PONTIAC DR, GLENDALE, AZ 85308-9448
(623) 910-2398
(623) 561-9591
Mailing address
7009 W PONTIAC DR, GLENDALE, AZ 85308-9448
(623) 910-2398
(623) 561-9591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3595
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922981
AHCCCS
AZ
Enumeration date
05/08/2007
Last updated
08/22/2020
Update your record
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