Organization
ROADRUNNER REHAB INCORPORATED
Active
Organization
ROADRUNNER REHAB INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E GUTIERREZ (OFFICE MANAGER)
(928) 348-4220
Entity
Organization
Contact information
Practice address
2290 W 16TH ST, SAFFORD, AZ 85546-4081
(928) 348-4220
(928) 348-4234
Mailing address
2290 W 16TH ST, SAFFORD, AZ 85546-4081
(928) 348-4220
(928) 348-4234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1841
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078726
—
AZ
Enumeration date
11/22/2006
Last updated
05/03/2012
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