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NPI 1225751480

NPI 1225751480 : SPOONER PHYSICAL THERAPY & HAND REHAB, PC : GILBERT, AZ

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General NPI Number Information
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    NPI Number           |    1225751480
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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     |    09/22/2022
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    Last Update Date     |    04/30/2025
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Provider Practice Location Address
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    Address Line         |    1534 E RAY RD STE 104 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85296-4429
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    Country              |    US
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    Telephone            |    480-855-5542
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    Fax                  |    480-855-5756
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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            |    480-855-5542
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    Fax                  |    480-855-5756
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     TIMOTHY  SPOONER 
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    Credential           |    
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    Telephone            |    602-527-0586
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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 |    
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