Organization
60002 AVONDALE REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTA MARIE GERAU DC (OWNER)
(623) 935-9920
Entity
Organization
Contact information
Practice address
12409 W INDIAN SCHOOL RD, B210, AVONDALE, AZ 85392-9502
(623) 935-9920
Mailing address
PO BOX 2954, PHOENIX, AZ 85082-2954
(623) 935-9920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7536
AZ
Other
Enumeration date
08/25/2008
Last updated
08/29/2008
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