Organization
OLOSOMA THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHELLE LYNN BAKER D.P.T. (PRESIDENT)
(623) 363-9545
Entity
Organization
Contact information
Practice address
15623 N 174TH AVE, SURPRISE, AZ 85388-0263
(623) 363-9545
(602) 926-1402
Mailing address
15623 N 174TH AVE, SURPRISE, AZ 85388-0263
(623) 363-9545
(602) 926-1402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
07/28/2008
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