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Organization

EVOLUTION PHYSICAL THERAPY LLC

Active
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Organization

EVOLUTION PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY BERAN PT, DPT, ATC (PHYSICAL THERAPIST)
(480) 767-2769
Entity
Organization

Contact information

Practice address
9312 E RAINTREE DR, SCOTTSDALE, AZ 85260-2094
(480) 767-2769
(480) 767-2745
Mailing address
9312 E RAINTREE DR, SCOTTSDALE, AZ 85260-2094
(480) 767-2769
(480) 767-2745

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7398
AZ

Other

Enumeration date
04/19/2013
Last updated
04/19/2013
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