Organization · NPI-2
Accelerated Rehabilitation Centers Of Phoenix LLC
Clinic/Center · Mesa, AZ
NPI number1629633367
StatusActive
Last updated in NPPESMay 8, 2019
Details
- NPI
- 1629633367
- Entity type
- Organization (NPI-2)
- Legal business name
- Accelerated Rehabilitation Centers Of Phoenix LLC
- Organization subpart
- No
- Enumeration date
- May 8, 2019
- Last updated
- May 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 225100000X | Physical Therapist | – | – |
Other names
- Athletico Physical Therapy (Doing Business As)
Practice location
425 N Stapley Dr Ste 105Mesa, AZ 85203-7281
Phone 480-729-8317 · Fax 480-542-6462
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
Phone 630-575-6250
Authorized official
Juana Granados
Credentailing Manager
6305751980
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