Organization
PAUL HENRY PHYSICAL THERAPY, LLC
Active
Other names
CENTER FOR ATHLETIC PERFORMANCE & PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONYA R BRATCHER (ADMINISTRATOR)
(602) 380-6807
Entity
Organization
Contact information
Practice address
5325 E PERSHING AVE, SCOTTSDALE, AZ 85254-3627
(602) 380-6807
Mailing address
5325 E PERSHING AVE, SCOTTSDALE, AZ 85254-3627
(602) 380-6807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
BL2007491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080129
—
AZ
01
—
6695510001
MRDICARE DME
AZ
Enumeration date
03/01/2007
Last updated
05/14/2024
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