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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.

physician-icon Basic Information

Practice Location 6410 S Kings Ranch Rd, Suite 2, Gold Canyon, AZ 85118-7352, US
Practice Location Phone480-983-2259
Practice Location Fax480-983-2259
Legal Business NamePHYSICAL THERAPY CLINIC OF GOLD CANYON
NPI ?1407049331
Entity TypeOrganization
Enumeration Date ? Aug 23, 2007
Last Update Date ? Oct 2, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Physical Therapy Clinic Of Gold Canyon

SpecialtySpecializationLicenseLicense State
Physical Therapist 378Arizona

legacy-id-icon Legacy Provider IDs of Physical Therapy Clinic Of Gold Canyon

Provider IdIssuer StateIssuer TypeIssuer
670001707ArizonaOtherRAIL ROAD MEDICARE
=========ArizonaOtherHUMANA
AZ0292230ArizonaOtherBLUE CROSS/BLUE SHIELD
=========ArizonaOtherTRICARE/WPS

official-icon 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/PositionOFFICE MANAGER
Authorized Official Phone Number480-983-2259