Arizona Physical Medicine And Rehabilitation PC
Physical Medicine & Rehabilitation in Chandler, AZ. Organization (NPI-2).
NPI number1265682850
StatusActive
Last updated in NPPESDec 1, 2022
Details
- NPI
- 1265682850
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Physical Medicine And Rehabilitation PC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2008
- Certification date
- Nov 28, 2022
- Last updated
- Dec 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 40368 | AZ | Yes |
| 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 40368 | AZ |
Practice location
5690 W Chandler Blvd Ste 2Chandler, AZ 85226-3356
Phone 480-878-7425 · Fax 480-207-1025
Mailing address
Po Box 36Tempe, AZ 85280-0036
Phone 480-878-7425 · Fax 480-207-1025
Authorized official
Mohammad Iqbal Uddin
President
4808787425
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