Doctor Name: | DREW GIARDINA |
NPI Number: | 1457309486 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 5569 |
Business Practice Address: | 4532 E Lone Mountain Rd Cave Creek, AZ - 853314407 |
Business Phone Number: | 4802727140 |
Business Fax Number: | 4803618216 |
Mailing Address: | Po Box 71846, PHOENIX |
State: | AZ |
Postal Code: | 850501015 |
Phone Number: | 6024991139 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 5569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |