Organization
VORTEX SENSORY REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE KURT MOORE OTR/L (OWNER)
(480) 218-1949
Entity
Organization
Contact information
Practice address
4355 E UNIVERSITY DR, MESA, AZ 85205-7000
(480) 218-1949
(480) 218-1950
Mailing address
4355 E UNIVERSITY DR, MESA, AZ 85205-7000
(480) 218-1949
(480) 218-1950
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
2943
AZ
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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