Black Canyon Physical Therapy, Pllc
NPI #1134679814 in Black Canyon City, Arizona
Provider Information
- NPI Number
- 1134679814
- Entity Type
- Organization
- Organization Name
- Black Canyon Physical Therapy, Pllc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 6, 2016
- Last Updated
- Feb 5, 2017
Practice Location
- Address
- 34301 S OLD BLACK CANYON HWY STE 7
- State
- Arizona
- ZIP Code
- 85324-9728
- Phone
- (623) 363-8691
Authorized Official
- Name
- MR. GREGG POTTER, PT
- Title
- MEMBER
- Phone
- (623) 363-8691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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