Doctor Name: | HEATHER PEDEN |
NPI Number: | 1700217924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 10413 |
Business Practice Address: | 13640 N 99th Ave Suite 500 Sun City, AZ - 853512861 |
Business Phone Number: | 6239723800 |
Business Fax Number: | 6239721089 |
Mailing Address: | 18444 N 25th Ave, Suite 310 PHOENIX |
State: | AZ |
Postal Code: | 850231261 |
Phone Number: | 6235375600 |
Fax Number: | 8669392673 |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |