Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
NPI Number: | 1003995606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA L GOLDBERG (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 16155 N 83rd Ave Suite 105 Peoria |
State: | AZ US |
Postal Code: | 853825815 |
Phone Number: | 6235726776 |
Fax Number: | 6235726962 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 02/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |