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Organization

PREFERRED REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN GILLEN DC (MEMBER)
(480) 633-3151
Entity
Organization

Contact information

Practice address
235 E WARNER RD STE B104, GILBERT, AZ 85296-2972
(480) 633-3151
(480) 383-6076
Mailing address
235 E WARNER RD STE B104, GILBERT, AZ 85296-2972
(480) 633-3151
(480) 383-6076

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
207RS0010X
Sports Medicine (Internal Medicine) Physician
225100000X
Physical Therapist

Other

Enumeration date
04/23/2020
Last updated
04/23/2020
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