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Traveling Physical Therapist Pllc
Prosthetic/Orthotic Supplier in Prescott, Arizona
NPI 1740721406

Traveling Physical Therapist Pllc is a Prosthetic/Orthotic Supplier based in Prescott, AZ. Traveling Physical Therapist Pllc practices in Prescott, AZ. The NPI Number for Traveling Physical Therapist Pllc is 1740721406 and holds a License No. C51320 (Arizona).

The current practice location address for Traveling Physical Therapist Pllc is 520 W Sheldon St, Prescott, AZ and can be reached out via phone at 928-515-1748 and via fax at 928-445-5054.

Location: 520 W Sheldon St, Prescott, AZ, 86301-1563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740721406
Provider Name
Traveling Physical Therapist Pllc
Credential
Provider Entity Type
Organization
Address
520 W Sheldon St, Prescott, AZ, 86301-1563
Phone Number
928-515-1748
Fax Number
928-445-5054
Provider Enumeration Date
03/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C51320 01 AZ ORTHOTIST
institution
Provider Business Practice Location Address Details
Address
520 W Sheldon St
City
Prescott
State
Arizona
Zip
86301-2717
Phone Number
928-515-1748
Fax Number
928-445-5054
person
Provider Business Mailing Address Details
Address
520 W Sheldon St
City
Prescott
State
Arizona
Zip
86301-2717
Phone Number
928-515-1748
Fax Number
928-445-5054
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
C51320 (Arizona)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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