Organization
ELDERCARE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S FAIRBANK (BUSINESS MANAGER)
(480) 626-4766
Entity
Organization
Contact information
Practice address
2037 E PARK AVE, GILBERT, AZ 85234-6209
(480) 201-0027
(480) 497-0416
Mailing address
PO BOX 1971, HIGLEY, AZ 85236-1971
(480) 201-0027
(602) 625-1194
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7240
AZ
Other
Enumeration date
09/16/2009
Last updated
02/14/2014
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