Organization
MDM PHYSICAL THERAPY, LLC
Active
Other names
MDM Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D MOONEY PT (OWNER)
(480) 854-9833
Entity
Organization
Contact information
Practice address
7205 E SOUTHERN AVE STE 111, MESA, AZ 85209-2791
(480) 832-9308
(480) 807-1782
Mailing address
1101 E PRINCETON AVE, GILBERT, AZ 85234-3599
(480) 854-9833
(480) 854-9834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2346
AZ
Other
Enumeration date
11/14/2006
Last updated
05/22/2019
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