Organization
FOUR PEAKS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CAMPAGNARI COTA/L (OWNER)
(480) 818-5305
Entity
Organization
Contact information
Practice address
7316 E SOUTHERN AVE UNIT 7323, MESA, AZ 85216-5054
(480) 818-5305
Mailing address
PO BOX 7323, MESA, AZ 85216-7323
(480) 818-5305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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