Organization
TRINITY OUTPATIENT PHYSICAL THERAPY LLC
Active
Other names
Trinity Outpatient Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARINNA WILMOT RN, MSN (CO-OWNER)
(520) 458-1536
Entity
Organization
Contact information
Practice address
4226 AVENIDA COCHISE STE 5, SIERRA VISTA, AZ 85635-5818
(520) 458-1536
(520) 458-4245
Mailing address
4226 AVENIDA COCHISE STE 5, SIERRA VISTA, AZ 85635-5818
(520) 458-1536
(520) 458-4245
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1896278
ARIZONA CORPORATION COMMISSION
AZ
Enumeration date
03/29/2019
Last updated
03/29/2019
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