360 Physical Therapy LLC
Physical Therapist in Chandler, AZ. Organization (NPI-2).
NPI number1295467116
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1295467116
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Jun 20, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Other names
- 360 Physical Therapy (Doing Business As)
Practice location
1076 W Chandler Blvd Ste 103Chandler, AZ 85224-5223
Phone 602-847-2161 · Fax 602-910-5432
Mailing address
2035 Corte Del Nogal Ste 200Carlsbad, CA 92011-1445
Phone 760-931-8310
Authorized official
Robert Pace
Owner
2138041712
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