Healthcare Provider Details

I. General information

NPI: 1659533966
Provider Name (Legal Business Name): CONTINUUM WELLNESS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 E IDAHO ROAD #210
APACHE JUNCTION AZ
85219
US

IV. Provider business mailing address

1075 E IDAHO ROAD #210
APACHE JUNCTION AZ
85219
US

V. Phone/Fax

Practice location:
  • Phone: 480-983-0877
  • Fax: 480-983-3172
Mailing address:
  • Phone: 480-983-0877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1727
License Number StateAZ

VIII. Authorized Official

Name: DEB FRANCOIS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 480-503-2010