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
- City
- Prescott Valley
- 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 Therapy — Physical Therapy |
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