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Procare Physical Therapy 2 INC

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

NPI number1861997231
StatusActive
Last updated in NPPESMar 28, 2018

Details

NPI
1861997231
Entity type
Organization (NPI-2)
Legal business name
Procare Physical Therapy 2 INC
Organization subpart
No
Enumeration date
Mar 28, 2018
Last updated
Mar 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist10051AZYes

Practice location

9860 S Estrella Pkwy Ste B105
Goodyear, AZ 85338-7149

Phone 623-594-5473 · Fax 623-594-5479

Mailing address

9860 S Estrella Pkwy Ste B105
Goodyear, AZ 85338-7149

Phone 623-594-5473 · Fax 623-594-5479

Authorized official

Lawrence Shauf
Designated Signature
6235945473

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