Physical Therapy Clinic Of Gold Canyon

LBN: Physical Therapy Clinic Of Gold Canyon
Physical Therapy Clinic Of Gold Canyon is an health care organization with primary practice located at 6410 S Kings Ranch Rd Suite 2, Gold Canyon AZ 85118-7352. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Physical Therapy Clinic Of Gold Canyon can be contacted via phone (480) 983-2259, or through Churchman, Darlene Marie via phone (480) 983-2259.

Contact Information

Primary practice address
6410 S Kings Ranch Rd Suite 2 Gold Canyon AZ 85118-7352
Phone: (480) 983-2259
Fax: (480) 983-2259
Website:
Map and Directions
Authorized official contact:
Name: Churchman, Darlene Marie
Phone: (480) 983-2259

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 378 Arizona

Profile Details

NPI number 1407049331
LBN Legal business name Physical Therapy Clinic Of Gold Canyon
DBA Doing business as
Authorized official Churchman, Darlene Marie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2007
Last updated Oct 2nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407049331 NPPES
Arizona Other AZ0292230 BLUE CROSS/BLUE SHIELD
Arizona Other 670001707 BLUE CROSS/BLUE SHIELD

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