| Organization Name: | NORTHWEST ORTHOPEDIC AND SPORTS PHYSICAL THERAPY |
| NPI Number: | 1073610440 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT E PETERSON (OWNER) |
| Mailing Address: | 14800 W Mountain View Blvd Suite 260 Surprise |
| State: | AZ US |
| Postal Code: | 853744795 |
| Phone Number: | 6235565013 |
| Fax Number: | 6235569290 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |