Organization
PHYSICAL THERAPY COMPLETE PLLC
Active
Organization
PHYSICAL THERAPY COMPLETE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JOHN GLEASON P.T. (OWNER/MEMBER)
(602) 264-5323
Entity
Organization
Contact information
Practice address
375 E VIRGINIA AVE, SUITE B, PHOENIX, AZ 85004-1220
(602) 264-5323
(602) 264-5302
Mailing address
375 E VIRGINIA AVE, SUITE B, PHOENIX, AZ 85004-1220
(602) 264-5323
(602) 264-5302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1876
HEALTHNET PROVIDER ID
AZ
01
—
8145185
AETNA PROVIDER ID
AZ
05
—
854184
—
AZ
01
—
P0460470
BCBS OF ARIZONA
AZ
Enumeration date
03/03/2006
Last updated
11/27/2007
Update your record
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