Organization
CORE OBJECTIVES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HEDIEN PT (OWNER)
(310) 374-1614
Entity
Organization
Contact information
Practice address
13951 W GRAND AVE, SURPRISE, AZ 85374-2436
(623) 537-9730
Mailing address
15621 W SKY HAWK DR, SUN CITY WEST, AZ 85375-6514
(310) 374-1614
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT26401
CA
Other
Enumeration date
09/10/2010
Last updated
02/09/2025
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