Organization
WELLSTREET HOME THERAPY & MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON P MARINO PT (ADMINISTRATOR)
(480) 836-2240
Entity
Organization
Contact information
Practice address
16626 E AVENUE OF THE FOUNTAINS, STE. 102, FOUNTAIN HILLS, AZ 85268-8202
(480) 836-2240
(480) 836-2217
Mailing address
16626 E AVENUE OF THE FOUNTAINS, STE. 102, FOUNTAIN HILLS, AZ 85268-8202
(480) 836-2240
(480) 836-2217
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/29/2011
Last updated
11/06/2012
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