Organization
DESERT DOLPHIN AQUATIC THERAPY & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SANTOS PHYSICAL THERAPIST (OWNER/PHYSICAL THERAPIST)
(480) 760-3458
Entity
Organization
Contact information
Practice address
1903 S COLE DR, GILBERT, AZ 85295
(480) 760-3458
Mailing address
1903 S COLE DR, GILBERT, AZ 85295
(480) 760-3458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831928
—
AZ
Enumeration date
03/18/2016
Last updated
03/18/2016
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