Organization · NPI-2
360 Physical Therapy LLC
Physical Therapist · Tempe, AZ
NPI number1801260575
StatusActive
Last updated in NPPESJun 20, 2022
Details
- NPI
- 1801260575
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2015
- Certification date
- Jun 20, 2022
- Last updated
- Jun 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- 360 Physical Therapy (Doing Business As)
Practice location
1954 E University DrTempe, AZ 85281-4603
Phone 480-821-1997 · Fax 480-782-5213
Mailing address
1954 E University DrTempe, AZ 85281-4603
Phone 480-821-1997 · Fax 480-782-5213
Authorized official
Cheryl Brunin
Admin Operations
4808211997
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