Organization
FOOTHILLS SPORTS MEDICINE & REHABILITATION-SURPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANJA SNOWDEN (EXECUTIVE ASSISTANT)
(480) 706-7716
Entity
Organization
Contact information
Practice address
15543 N REEMS RD, SUITE 133, SURPRISE, AZ 85374
(480) 706-1161
(480) 706-7997
Mailing address
15543 N REEMS RD, SUITE 133, SURPRISE, AZ 85374
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
07/09/2008
Last updated
05/05/2022
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