Organization
PALO VERDE PHYSICAL & SPORTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA MOSS (OFFICE MANAGER)
(307) 463-0195
Entity
Organization
Contact information
Practice address
3003 HIGHWAY 95 STE 61, BULLHEAD CITY, AZ 86442-7896
(928) 758-0029
(928) 758-0055
Mailing address
2002 W SUNSET DR STE 1, RIVERTON, WY 82501-2285
(307) 856-7021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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