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Recharge Physical Therapy LLC

Physical Therapist in Gilbert, AZ. Organization (NPI-2).

NPI number1801547211
StatusActive
Last updated in NPPESJan 17, 2022

Details

NPI
1801547211
Entity type
Organization (NPI-2)
Legal business name
Recharge Physical Therapy LLC
Organization subpart
No
Enumeration date
Jan 17, 2022
Certification date
Jan 16, 2022
Last updated
Jan 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

1721 S Constellation Way
Gilbert, AZ 85295-5188

Phone 480-634-0227

Mailing address

1721 S Constellation Way
Gilbert, AZ 85295-5188

Phone 480-634-0227

Authorized official

Gabriel Lucas
Owner
4806340227

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