Organization
PROCARE PHYSICAL THERAPY 2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE SHAUF PHYSICAL THERAPIST (DESIGNATED SIGNATURE)
(623) 594-5473
Entity
Organization
Contact information
Practice address
9860 S ESTRELLA PKWY STE B105, GOODYEAR, AZ 85338-7149
(623) 594-5473
(623) 594-5479
Mailing address
9860 S ESTRELLA PKWY STE B105, GOODYEAR, AZ 85338-7149
(623) 594-5473
(623) 594-5479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10051
AZ
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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