Abc Pediatric Therapy, INC.
Physical Therapist, Pediatrics in Chandler, AZ. Organization (NPI-2).
NPI number1083779649
StatusActive
Last updated in NPPESFeb 9, 2011
Details
- NPI
- 1083779649
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc Pediatric Therapy, INC.
- Organization subpart
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Feb 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
3440 S Oleander DrChandler, AZ 85248-3655
Phone 480-726-0000 · Fax 480-726-9999
Mailing address
3440 S Oleander DrChandler, AZ 85248-3655
Phone 480-726-0000 · Fax 480-726-9999
Authorized official
Alycia Virga
Office Manager
4807260000
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