Organization
ON THE MEND ON THE MOVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA HERRON (PRESIDENT)
(480) 354-2911
Entity
Organization
Contact information
Practice address
7525 E BROADWAY RD, #6, MESA, AZ 85208-2002
(480) 354-2911
Mailing address
7525 E BROADWAY RD, #6, MESA, AZ 85208-2002
(480) 354-2911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11142PT
AZ
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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