Wellstreet Home Therapy & Medical
NPI #1881990414 in Fountain Hills, Arizona
Provider Information
- NPI Number
- 1881990414
- Entity Type
- Organization
- Organization Name
- Wellstreet Home Therapy & Medical
- Primary Specialty
- Home Health
- Enumeration Date
- Jan 29, 2011
- Last Updated
- Nov 6, 2012
Practice Location
- Address
- 16626 E AVENUE OF THE FOUNTAINS
- Address 2
- STE. 102
- City
- Fountain Hills
- State
- Arizona
- ZIP Code
- 85268-8202
- Phone
- (480) 836-2240
Authorized Official
- Name
- DR. JASON P MARINO, PT
- Title
- ADMINISTRATOR
- Phone
- (480) 836-2240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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