Healthcare Provider Details

I. General information

NPI: 1558675918
Provider Name (Legal Business Name): SUNNY DAYS PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 E LODGEPOLE CT
GILBERT AZ
85298-7311
US

IV. Provider business mailing address

870 E LODGEPOLE CT
GILBERT AZ
85298-7311
US

V. Phone/Fax

Practice location:
  • Phone: 480-221-2784
  • Fax: 602-626-8593
Mailing address:
  • Phone: 480-221-2784
  • Fax: 602-626-8593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number7913
License Number StateAZ

VIII. Authorized Official

Name: DR. TISHA MARIE SCHERR
Title or Position: PHYSICAL THERAPIST/ OWNER
Credential: PT, DPT, ATC
Phone: 480-221-2784