Organization
PARAGON PHYSICAL THERAPY AND REHAB, LLC
Active
Other names
Paragon Healthcare of Arizona, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN LINVILLE-PETRIK PT (PHYSICAL THERAPIST/OWNER)
(928) 444-8168
Entity
Organization
Contact information
Practice address
2585 MIRACLE MILE, SUITE 107, BULLHEAD CITY, AZ 86442-7522
(928) 444-8168
(928) 444-8169
Mailing address
2585 MIRACLE MILE, SUITE 107, BULLHEAD CITY, AZ 86442-7522
(928) 444-8168
(928) 444-8169
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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