NPI 1508004219
Supplemental Healthcare
Practice location
- Address
- 4720 E Cotton Gin Loop STE. 140, Phoenix, AZ 85040-8858
- Phone
- (602) 567-9881
- Mailing address
- 4720 E. Cotton Gin Loop STE. 140, Phoenix, AZ 85040
Authorised official
- Name
- Marjorie Kinder
- Title
- Physical Therapist
- Phone
- (602) 567-9881
Registered specialties
Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1508004219
- Entity type
- Organization
- NPI issued
- 3 Feb 2009
- Record last updated
- 3 Feb 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.