Organization
PROACTIVE PHYSICAL AND AQUATIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINDI G BLOOMENSTEIN P.T. (PHYSICAL THERAPIST)
(480) 443-3534
Entity
Organization
Contact information
Practice address
9746 N 90TH PL, SUITE 103, SCOTTSDALE, AZ 85258-5083
(480) 443-3534
(480) 367-9515
Mailing address
9746 N 90TH PL, SUITE 103, SCOTTSDALE, AZ 85258-5083
(480) 443-3534
(480) 367-9515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0087104
AZ
Other
Enumeration date
12/11/2006
Last updated
04/12/2011
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