360 Physical Therapy, LLC

NPI #1154728350 in Maricopa, Arizona

Provider Information

NPI Number: 1154728350
Entity Type: Organization
Organization Name: 360 Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 3, 2014
Last Updated: Dec 3, 2014

Practice Location

Address: 21083 N JOHN WAYNE PKWY
Address 2: C103/C104
City: Maricopa
State: Arizona
ZIP Code: 85139-2959
Phone: (480) 821-1997

Authorized Official

Name: CHERYL BRUNIN
Title: ADMIN OPERATIONS DIRECTOR
Phone: (480) 821-1997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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