Organization
AVAYA THERAPY OF ARIZONA LLC
Active
Organization
AVAYA THERAPY OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO ARROJO (MEMBER)
(312) 404-9639
Entity
Organization
Contact information
Practice address
18185 N 83RD AVE STE 206, GLENDALE, AZ 85308-0519
(708) 408-2258
Mailing address
18185 N 83RD AVE STE 206, GLENDALE, AZ 85308-0519
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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