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NPI Code Detail

MEDICARE: AMY LIHVARCHIK PT

MEDICARE:   AMY  LIHVARCHIK  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15513OTHERAZLICENSE#

General Provider Information

NPI Number : 1417065400
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LIHVARCHIK PT
Provider Business Mailing Address
First Line : 5406 E CALLE DE LAS ESTRELLAS
Second Line :
City : CAVE CREEK
State : AZ
Zip : 85331-3095
Country : US
Telephone Number : 480-659-5334
Fax Number :
Provider Business Practice Location Address
First Line : 6320A W UNION HILLS DR
Second Line : SUITE 265
City : GLENDALE
State : AZ
Zip : 85308-7177
Country : US
Telephone Number : 623-374-2424
Fax Number : 623-374-2619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ AMY LIHVARCHIK PT” Practice Location

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