Organization
PHYSICAL THERAPY OF TEMPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MOODY (CREDENTIALING COORDINATOR)
(480) 755-7868
Entity
Organization
Contact information
Practice address
1030 E BASELINE RD STE 178, TEMPE, AZ 85283-1371
(480) 755-7868
(480) 755-7871
Mailing address
1030 E BASELINE RD STE 178, TEMPE, AZ 85283-1371
(480) 755-7868
(480) 755-7871
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6614
AZ
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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