Organization
VISION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT STAUTH PT (MEMBER)
(480) 980-6498
Entity
Organization
Contact information
Practice address
19019 W LYNWOOD ST, BUCKEYE, AZ 85396-9744
(480) 980-6498
Mailing address
19019 W LYNWOOD ST, BUCKEYE, AZ 85396-9744
(480) 980-6498
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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