Organization · NPI-2

360 Physical Therapy LLC

Physical Therapist · Tempe, AZ

NPI number1851764377
StatusActive
Last updated in NPPESJun 20, 2022

Details

NPI
1851764377
Entity type
Organization (NPI-2)
Legal business name
360 Physical Therapy LLC
Organization subpart
No
Enumeration date
Nov 5, 2015
Certification date
Jun 20, 2022
Last updated
Jun 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Other names

  • 360 Physical Therapy (Doing Business As)

Practice location

1952 E University Dr
Tempe, AZ 85281

Phone 480-821-1997 · Fax 480-782-5213

Mailing address

1952 E University Dr
Tempe, AZ 85281

Phone 480-821-1997 · Fax 480-782-5213

Authorized official

Robert Pace
Owner
2138041712

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