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Organization

ACADIA REHABILITATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM HAAS D.C. (MANAGING MEMBER)
(623) 583-6573
Entity
Organization

Contact information

Practice address
13260 N 94TH DR, STE 205, PEORIA, AZ 85381-4240
(623) 583-6573
(623) 583-6571
Mailing address
13260 N 94TH DR, STE 205, PEORIA, AZ 85381-4240
(623) 583-6573
(623) 583-6571

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTC3883
AZ
225100000X
Physical Therapist
Primary
OTC3883
AZ
2251C2600X
Cardiopulmonary Physical Therapist
OTC3883
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTC3883
OUTPATIENT TREATMENT CTR
AZ
01
Z034524
MEDICARE ID-PIN
AZ
Enumeration date
02/22/2006
Last updated
10/24/2007
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