Organization
PHYSIOTHERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TINA LOUISE BENALLY ATC/LAT (CERTIFIED ATHLETIC TRAINER)
(623) 572-6776
Entity
Organization
Contact information
Practice address
16140 N ARROWHEAD FOUNTAINS CTR DR STE 105, PEORIA, AZ 85382-4789
(623) 572-6776
Mailing address
16140 N ARROWHEAD FOUNTAINS CTR DR STE 105, PEORIA, AZ 85382-4789
(623) 572-6776
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0262
AZ
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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