Organization
CENTRAL ARIZONA THERAPY LLC
Active
Other names
Central AZ Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE A BOWLUS OT L (CEO)
(928) 567-7330
Entity
Organization
Contact information
Practice address
513 S AZURE DR., CAMP VERDE, AZ 86322
(928) 567-7330
(928) 567-4146
Mailing address
PO BOX 640, CAMP VERDE, AZ 86322-0640
(928) 567-7330
(928) 567-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
556003
AZ
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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