Organization
PHOENIX PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E EARL PT (OWNER)
(970) 426-9074
Entity
Organization
Contact information
Practice address
555 RIVERGATE STE B1-108, DURANGO, CO 81301-7473
(970) 426-9074
Mailing address
555 RIVERGATE STE B1-108, DURANGO, CO 81301-7473
(970) 426-9074
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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