Organization
SMITH SPINE & ORTHOPAEDIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN B WYATT (OWNER)
(602) 540-8708
Entity
Organization
Contact information
Practice address
8126 W CARLOTA LN, PEORIA, AZ 85383-2196
(602) 540-8708
Mailing address
8126 W CARLOTA LN, PEORIA, AZ 85383-2196
(602) 540-8708
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2007
Last updated
12/15/2007
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