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Organization

KINETIC SPORTS AND SPINE PHYSICAL THERAPY

Active
Other names
Kinetic Sports and Spine Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JASON Q AVAKIAN (OWNER/PHYSICAL THERAPIST)
(480) 291-4120
Entity
Organization

Contact information

Practice address
9525 E DOUBLETREE RANCH RD STE 103, SCOTTSDALE, AZ 85258-5538
(480) 291-4120
Mailing address
9525 E DOUBLETREE RANCH RD STE 103, SCOTTSDALE, AZ 85258-5538
(480) 291-4120

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10411
AZ

Other

Enumeration date
08/07/2017
Last updated
07/21/2022
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