Organization
NORTHERN ARIZONA PHYSICAL THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIJKE SCHUPACK (MEMBER)
(928) 301-1977
Entity
Organization
Contact information
Practice address
2530 W STATE ROUTE 89A, B-1, SEDONA, AZ 86336-5256
(928) 282-3950
(928) 282-6990
Mailing address
2530 W STATE ROUTE 89A, B-1, SEDONA, AZ 86336-5256
(928) 282-3950
(928) 282-6990
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
Z146505
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619866
—
AZ
Enumeration date
03/15/2011
Last updated
09/02/2011
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