Organization
PICACHO 1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY FLOYD CARR (OWNER)
(480) 495-6574
Entity
Organization
Contact information
Practice address
20715 E OCOTILLO RD, SUITE 103, QUEEN CREEK, AZ 85142
(480) 495-6574
(480) 888-1533
Mailing address
20715 E OCOTILLO RD, SUITE 103, QUEEN CREEK, AZ 85142
(480) 495-6574
(480) 888-1533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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