South Mountain Rehabilitation P.c.

NPI #1124176342 in Phoenix, Arizona

Provider Information

NPI Number: 1124176342
Entity Type: Organization
Organization Name: South Mountain Rehabilitation P.c.
Primary Specialty: Chiropractor
Enumeration Date: Jan 5, 2007
Last Updated: Jan 3, 2008

Practice Location

Address: 4804 E CHANDLER BLVD
Address 2: 106
City: Phoenix
State: Arizona
ZIP Code: 85048-0857
Phone: (480) 893-6020

Authorized Official

Name: DR. PETER VINCENT PAKULIS, D.C.,P.T.
Title: PRESIDENT
Phone: (480) 759-1082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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