Organization
PERMAR PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGE PERMAR (SOLE MEMBER)
(928) 589-1172
Entity
Organization
Contact information
Practice address
143 N MCCORMICK ST STE 102, PRESCOTT, AZ 86301-2725
(928) 589-1172
(928) 441-2622
Mailing address
19 EASTFIELD LN, PRESCOTT, AZ 86305-5272
(928) 589-1172
(928) 441-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8201
AZ
Other
Enumeration date
03/07/2016
Last updated
10/06/2022
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