Organization
PROFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BEDRICK (MANAGER)
(480) 363-4040
Entity
Organization
Contact information
Practice address
15111 N HAYDEN RD, #160-190, SCOTTSDALE, AZ 85260-2581
(480) 363-4040
Mailing address
15111 N HAYDEN RD, #160-190, SCOTTSDALE, AZ 85260-2581
(480) 363-4040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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