Organization
TRUE REHAB OF ARIZONA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM BENNETCH P.T. (OWNER)
(928) 453-0501
Entity
Organization
Contact information
Practice address
297 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-6526
(928) 453-0501
(928) 453-0502
Mailing address
1720 MESQUITE AVE STE 101, LAKE HAVASU CITY, AZ 86403-5602
(928) 453-0501
(928) 453-0502
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OTC3718
AZ
Other
Enumeration date
01/25/2007
Last updated
04/27/2021
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