Healthcare Provider Details

I. General information

NPI: 1972736783
Provider Name (Legal Business Name): ARIZONA REHAB SPECIALISTS,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 08/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 W BRISA DR
GILBERT AZ
85233-7306
US

IV. Provider business mailing address

366 W BRISA DR
GILBERT AZ
85233-7306
US

V. Phone/Fax

Practice location:
  • Phone: 480-396-3451
  • Fax: 480-275-4032
Mailing address:
  • Phone: 480-396-3451
  • Fax: 480-275-4032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number6104
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number6104
License Number StateAZ

VIII. Authorized Official

Name: FRANDIOBEN S. SAEZ
Title or Position: MEMBER
Credential: PT
Phone: 480-335-8882