Canyon Physical Therapy and Aquatic Rehabilitation, P.l.l.c.

NPI #1831149913 in Prescott Valley, Arizona

Provider Information

NPI Number
1831149913
Entity Type
Organization
Organization Name
Canyon Physical Therapy and Aquatic Rehabilitation, P.l.l.c.
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
May 11, 2006
Last Updated
Jul 10, 2024

Practice Location

Address
2852 N NAVAJO DR
Address 2
SUITE A
State
Arizona
ZIP Code
86314-4963
Phone
(928) 772-9797

Authorized Official

Name
MR. KELLY GERRIT VREDEVELD, D.P.T.
Title
MANAGER
Phone
(928) 772-9797

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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