Individual
ROBERT B DIRENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-9645
(520) 682-9646
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1135
AZ
225100000X
Physical Therapist
Primary
LPT-001135
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
782541
—
AZ
Enumeration date
05/31/2005
Last updated
02/04/2021
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