Organization
EXCLUSIVELY SPINE PHYSICAL THERAPY, LLC
Active
Organization
EXCLUSIVELY SPINE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA JO HOURIHAN D.P.T. (OWNER)
(623) 776-7577
Entity
Organization
Contact information
Practice address
7616 W THUNDERBIRD RD, SUITE 104, PEORIA, AZ 85381-6081
(623) 776-7577
(623) 776-7597
Mailing address
7616 W THUNDERBIRD RD, SUITE 104, PEORIA, AZ 85381-6081
(623) 776-7577
(623) 776-7597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4405
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4405
STATE LICENSE
AZ
Enumeration date
01/03/2007
Last updated
06/12/2008
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