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Virtual Therapy Room, PLLC

Home Health in Mesa, AZ. Organization (NPI-2).

NPI number1598919086
StatusActive
Last updated in NPPESNov 10, 2008

Details

NPI
1598919086
Entity type
Organization (NPI-2)
Legal business name
Virtual Therapy Room, PLLC
Organization subpart
No
Enumeration date
Nov 10, 2008
Last updated
Nov 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthSLP4236AZYes

Practice location

5656 E Harmony Ave
Mesa, AZ 85206-6762

Phone 480-659-0536

Mailing address

5656 E Harmony Ave
Mesa, AZ 85206-6762

Phone 480-659-0536

Authorized official

Shannon Michelle Watkins
Owner
4806590536

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