Healthcare Provider Details

I. General information

NPI: 1467620625
Provider Name (Legal Business Name): CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14420 W MEEKER BLVD SUITE 300
SUN CITY WEST AZ
85375-5286
US

IV. Provider business mailing address

3010 W AGUA FRIA FWY SUITE 100
PHOENIX AZ
85027-3943
US

V. Phone/Fax

Practice location:
  • Phone: 623-537-5600
  • Fax: 623-537-5601
Mailing address:
  • Phone: 623-537-5600
  • Fax: 623-537-5601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAVID JACOFSKY
Title or Position: CHAIRMAN
Credential: MD
Phone: 623-537-5600