Healthcare Provider Details

I. General information

NPI: 1982978987
Provider Name (Legal Business Name): B&D THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2012
Last Update Date: 03/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 E VIA DE VENTURA SUITE F-110
SCOTTSDALE AZ
85258-3188
US

IV. Provider business mailing address

8390 E VIA DE VENTURA SUITE F-110
SCOTTSDALE AZ
85258-3188
US

V. Phone/Fax

Practice location:
  • Phone: 480-695-8582
  • Fax:
Mailing address:
  • Phone: 480-695-8582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANIE NICHOLE HURLEY
Title or Position: MEMBER
Credential:
Phone: 480-695-8582