Spooner Rehab, PC

NPI #1225472533 in Peoria, Arizona

Provider Information

NPI Number: 1225472533
Entity Type: Organization
Organization Name: Spooner Rehab, PC
Subpart: Yes (part of a larger organization)
Parent Organization: SPOONER REHAB, PC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 18, 2013
Last Updated: Jun 18, 2013

Practice Location

Address: 13352 N 83RD AVE
Address 2: SUITE A-101
City: Peoria
State: Arizona
ZIP Code: 85381-4158
Phone: (623) 979-8900

Authorized Official

Name: MR. SYLVIA MENDOZA
Title: CREDENTIALING COORDINATOR
Phone: (480) 551-4961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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