Healthcare Provider Details

I. General information

NPI: 1730699281
Provider Name (Legal Business Name): ABSOLUTE REHABILITATION AND PAIN MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 E DEER VALLEY RD STE 100
SCOTTSDALE AZ
85255-7453
US

IV. Provider business mailing address

7320 E DEER VALLEY RD STE 100
SCOTTSDALE AZ
85255-7453
US

V. Phone/Fax

Practice location:
  • Phone: 480-502-0250
  • Fax:
Mailing address:
  • Phone: 480-502-0250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA WEBB
Title or Position: CEO
Credential:
Phone: 480-502-0250