Organization
ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
Active
Parent organization
ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
Authorized official
DR. RYANN P ROBERTS DPT (OWNER)
(623) 242-6908
Entity
Organization
Contact information
Practice address
1781 E STATE HIGHWAY 69, SUITE 28, PRESCOTT, AZ 86301
(623) 242-6908
(623) 242-6909
Mailing address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9218
(623) 242-6908
(623) 242-6909
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156886
—
AZ
Enumeration date
10/28/2019
Last updated
10/28/2019
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