Foothills Sports Medicine & Rehabilitation- Peoria, INC

NPI #1689949620 in Peoria, Arizona

Provider Information

NPI Number
1689949620
Entity Type
Organization
Organization Name
Foothills Sports Medicine & Rehabilitation- Peoria, INC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 8, 2012
Last Updated
Mar 8, 2012

Practice Location

Address
7797 W PARADISE LN
City
Peoria
State
Arizona
ZIP Code
85382-4959
Phone
(480) 706-1161

Authorized Official

Name
MICHAEL L BASTEN, PT
Title
OWNER
Phone
(480) 706-1161

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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