St Peregrine Wound Care LLC

NPI #1164862371 in Phoenix, Arizona

Provider Information

NPI Number: 1164862371
Entity Type: Organization
Organization Name: St Peregrine Wound Care LLC
Primary Specialty: Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Enumeration Date: Jul 2, 2013
Last Updated: Jul 2, 2013

Practice Location

Address: 2000 W BETHANY HOME RD
City: Phoenix
State: Arizona
ZIP Code: 85015-2443
Phone: (602) 246-5576

Authorized Official

Name: DR. MARIANNE TERESA MASON, MD
Title: OWNER
Phone: (605) 371-6244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	Primary

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