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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
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform