San Carlos Apache Healthcare Corporation

NPI #1619326311 in Peridot, Arizona

Provider Information

NPI Number: 1619326311
Entity Type: Organization
Organization Name: San Carlos Apache Healthcare Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: SAN CARLOS APACHE HEALTHCARE CORPORATION
Primary Specialty: Physical Therapist
Enumeration Date: Jun 3, 2016
Last Updated: Jun 3, 2016

Practice Location

Address: 103 MEDICINE WAY ROAD
City: Peridot
State: Arizona
ZIP Code: 85542
Phone: (928) 475-1200

Authorized Official

Name: VICTORIA BEGAN
Title: INTERIM CEO
Phone: (928) 475-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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