Physical Therapy Clinic Of Gold Canyon
Physical Therapy Clinic Of Gold Canyon is a health care provider in Gold Canyon, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 6410 S Kings Ranch Rd, Suite 2, Gold Canyon, AZ 85118-7352, US |
|Practice Location Phone||480-983-2259|
|Practice Location Fax||480-983-2259|
|Legal Business Name||PHYSICAL THERAPY CLINIC OF GOLD CANYON|
|Enumeration Date ? ||Aug 23, 2007|
|Last Update Date ? ||Oct 2, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Physical Therapy Clinic Of Gold Canyon
|Specialty||Provider Type||Specialization||License||License State|
|Physical Therapist||Respiratory, Developmental, Rehabilitative and Restorative Service Providers|| ||378||Arizona|
Legacy Provider IDs of Physical Therapy Clinic Of Gold Canyon
|Provider Id||Issuer State||Issuer Type||Issuer|
|670001707||Arizona||Other||RAIL ROAD MEDICARE|
|AZ0292230||Arizona||Other||BLUE CROSS/BLUE SHIELD|
Authorized Official of Physical Therapy Clinic Of Gold Canyon
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Physical Therapy Clinic Of Gold Canyon's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mrs. Darlene Marie Churchman|
|Authorized Official Title/Position||OFFICE MANAGER|
|Authorized Official Phone Number||480-983-2259|