Chandler Physiatry
Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine in Chandler, AZ. Organization (NPI-2).
NPI number1154970457
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1154970457
- Entity type
- Organization (NPI-2)
- Legal business name
- Chandler Physiatry
- Organization subpart
- No
- Enumeration date
- Sep 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P0004X | Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | – | – | Yes |
Practice location
1515 W Chandler BlvdChandler, AZ 85224-6141
Phone 602-594-5400
Mailing address
3920 E Thomas Rd Unit 15641Phoenix, AZ 85060-2629
Authorized official
Grace Maloney
Owner/Provider
6025945400
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