Organization
KID-ABILITY MOBILE PEDIATRIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO HIRASAWA P.T. (OWNER,MANAGER)
(602) 418-8264
Entity
Organization
Contact information
Practice address
2726 E ACOMA DR, PHOENIX, AZ 85032-4900
(602) 418-8264
Mailing address
PO BOX 82338, PHOENIX, AZ 85071-2338
(602) 418-8264
(602) 482-9498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3338
AZ
Other
Enumeration date
01/07/2007
Last updated
06/07/2012
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