NPI 1134518079

Paige Fergen

Practitioner Physical Therapy Assistant Tempe, AZ

Practice location

Address: 1400 E. Southern Ave. STE 310 Supplemental Healthcare, Tempe, AZ 85282
Phone: (866) 308-2700
Mailing address: 6796 W Greenbriar Dr, Glendale, AZ 85308-8440

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 10965A (AZ)

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Registry record

NPI: 1134518079
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2015
Record last updated: 15 Jan 2015

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.