MEDICARE: THERAPRO PHYSICAL THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1932341724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPRO PHYSICAL THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	3230 E BASELINE RD
Second Line	:	SUITE 101
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7114
Country	:	US
Telephone Number	:	602-438-9773
Fax Number	:	602-438-9776

Provider Business Practice Location Address
First Line	:	3230 E BASELINE RD
Second Line	:	SUITE 101
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7114
Country	:	US
Telephone Number	:	602-438-9773
Fax Number	:	602-438-9776

Authorized Official
Title or Position	:	OWNER
Name	:	EVA ORSO
Credential	:
Telephone Number	:	602-605-8982

Provider Enumeration Date	:	03/25/2009
Last Update Date	:	03/25/2009

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