Organization
PHYSICAL REHABILITATION AND HAND CENTERS INC
Active
Other names
Chandler Orthopedic & Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C. BOUTELLE PT (OWNER/PRESIDENT)
(760) 591-7750
Entity
Organization
Contact information
Practice address
595 N DOBSON RD, SUITE A-15, CHANDLER, AZ 85224-4226
(480) 786-4969
(480) 786-5118
Mailing address
540 S ANDREASEN DR, SUITE C, ESCONDIDO, CA 92029-1916
(760) 591-7750
(760) 294-9813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70926
MEDICARE
AZ
Enumeration date
10/23/2006
Last updated
07/01/2010
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