| Organization Name: | AZ PAIN MANAGEMENT & PHYSICAL THERAPY CENTER, LLC |
| NPI Number: | 1508193186 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ODESSA G CRUZ (OFFICE MANAGER) |
| Mailing Address: | 6188 Oxon Hill Rd Suite 300 Oxon Hill |
| State: | MD US |
| Postal Code: | 207453113 |
| Phone Number: | 3015677678 |
| Fax Number: | 3015673643 |
| NPI Enumeration Date: | 11/03/2009 |
| NPI Last Update Date: | 06/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 18557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |