Healthcare Provider Details

I. General information

NPI: 1598676603
Provider Name (Legal Business Name): THERAPY NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 W PECOS RD
CHANDLER AZ
85224-5606
US

IV. Provider business mailing address

1814 W ALAMO DR
CHANDLER AZ
85224-8807
US

V. Phone/Fax

Practice location:
  • Phone: 480-821-1268
  • Fax:
Mailing address:
  • Phone: 912-604-5433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS LAMB
Title or Position: OWNER
Credential: PT, DPT
Phone: 912-604-5433