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General NPI Number Information
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NPI Number | 1114424868
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Entity Type | Organization
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Legal Business Name | SPOONER PHYSICAL THERAPY & HAND REHAB, PC
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 16968 W BELL RD # D401
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City | SURPRISE
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State | AZ
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Zip | 85374-8943
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Country | US
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Telephone | 623-299-9190
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Fax | 623-299-9191
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Provider Business Mailing Address
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Address Line | 14287 N 87TH ST STE 220
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3698
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Country | US
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Telephone | 623-299-9190
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Fax | 623-299-9191
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY A SPOONER
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Credential | PT
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Telephone | 480-551-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | AZ
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