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Organization

DYNAMITE THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SVETLANA STOJANOW GRABER (DIRECTOR)
(480) 570-8154
Entity
Organization

Contact information

Practice address
10049 E DYNAMITE BLVD, SUITE 110, SCOTTSDALE, AZ 85262-3694
(480) 570-8154
(480) 538-5258
Mailing address
10049 E DYNAMITE BLVD, SUITE 110, SCOTTSDALE, AZ 85262-3694
(480) 570-8154
(480) 538-5258

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SLP4675
AZ

Other

Enumeration date
07/17/2007
Last updated
07/17/2007
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