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Organization

HOUSE CALL PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN R PAULY M.P.T (PRESIDENT)
(480) 250-4741
Entity
Organization

Contact information

Practice address
1370 W SARAGOSA PL, CHANDLER, AZ 85224-7216
(480) 250-4741
(480) 840-1404
Mailing address
1370 W SARAGOSA PL, CHANDLER, AZ 85224-7216
(480) 250-4741
(480) 840-1404

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
5440
AZ
224P00000X
Prosthetist
5440
AZ
225100000X
Physical Therapist
Primary
5440
AZ
2251G0304X
Geriatric Physical Therapist
5440
AZ
225X00000X
Occupational Therapist
5440
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
5440
AZ
335E00000X
Prosthetic/Orthotic Supplier
5440
AZ

Other

Enumeration date
03/15/2007
Last updated
05/19/2011
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