NPI 1083779649 · live from the CMS NPI Registry
Abc Pediatric Therapy, INC.
Physical Therapist, Pediatrics in Chandler, AZ. National Provider Identifier 1083779649, active.
NPI record
| NPI | 1083779649 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Pediatrics 2251P0200X |
| Practice location | 3440 S Oleander Dr, Chandler, AZ 85248 |
| Practice phone | 480-726-0000 |
| Enumerated | December 26, 2006 |
| Last updated | February 9, 2011 |
| Authorized official | Alycia Virga, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | — |
| Physical Therapist, Pediatrics primary | 2251P0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.