Organization
CONTINUUM WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DAVIDSON P.T. (MANAGING MEMBER)
(616) 356-5000
Entity
Organization
Contact information
Practice address
3941 E BASELINE RD, SUITE 101, GILBERT, AZ 85234-2750
(480) 503-2010
(480) 503-2300
Mailing address
3941 E BASELINE RD, SUITE 101, GILBERT, AZ 85234-2750
(480) 503-2010
(480) 503-2300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1727
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296349
—
AZ
Enumeration date
06/12/2012
Last updated
08/23/2012
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