Organization
GENERATIONS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA MARIE HALLUMS D.P.T. (CEO)
(480) 206-4264
Entity
Organization
Contact information
Practice address
2200 E WILLIAMS FIELD RD, SUITE 200, GILBERT, AZ 85295-0761
(480) 320-2304
(888) 243-7186
Mailing address
4960 S GILBERT RD, SUITE 1-496, CHANDLER, AZ 85249-5982
(480) 917-2745
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5580
AZ
235Z00000X
Speech-Language Pathologist
SLP0332
AZ
235Z00000X
Speech-Language Pathologist
TSLP5625
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275552465
INDIVIUAL NPI
AZ
01
—
741662
INDIVIDUAL AHCCCS
AZ
Enumeration date
06/13/2007
Last updated
11/12/2010
Update your record
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