Advanced Neurologic Rehabilitation
Clinic/Center, Physical Therapy in Chandler, AZ. Organization (NPI-2).
NPI number1922482017
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1922482017
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Neurologic Rehabilitation
- Organization subpart
- No
- Enumeration date
- Jul 17, 2015
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 9343 | AZ | Yes |
Practice location
3160 N. Arizona AveSuite 106
Chandler, AZ 85225
Phone 480-699-4845 · Fax 480-699-5085
Mailing address
3160 N. Arizona AveSuite 106
Chandler, AZ 85225
Phone 480-699-4845 · Fax 480-699-5085
Authorized official
Jefferson Wayne Holm
Owner
4806994845
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All 22 Physical Therapy Clinic/Center providers in Chandler · All 7,680 providers in Chandler
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