Organization
BASHA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BASHA (MANAGER)
(480) 848-4281
Entity
Organization
Contact information
Practice address
8058 E. VIA BONITA, SCOTTSDALE, AZ 85258
(480) 848-4281
(480) 393-7040
Mailing address
P.O.BOX 267, QUEEN CREEK, AZ 85142
(480) 848-4281
(480) 393-7040
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6944
AZ
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
6944
AZ
Other
Enumeration date
11/17/2015
Last updated
12/18/2015
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