Organization
EXTREME PERFORMANCE AND REHABILITATION,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSCAR ESQUEDA JR. P.T. (OWNER/MANAGER)
(928) 446-3473
Entity
Organization
Contact information
Practice address
2205 W 23RD ST STE A, YUMA, AZ 85364-8869
(928) 446-3473
Mailing address
2205 W 23RD ST STE A, YUMA, AZ 85364-8869
(928) 446-3473
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
3395
AZ
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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