MEDICARE: GHI THERAPY CENTER

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
1	208D00000X	General Practice Physician	4962	AZ

General Provider Information

NPI Number	:	1780826115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GHI THERAPY CENTER

Provider Business Mailing Address
First Line	:	745 N GILBERT RD STE 104
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-3383
Country	:	US
Telephone Number	:	480-813-2906
Fax Number	:	480-813-2916

Provider Business Practice Location Address
First Line	:	745 N GILBERT RD STE 104
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-3383
Country	:	US
Telephone Number	:	480-813-2906
Fax Number	:	480-813-2916

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALAN GIFFORD
Credential	:
Telephone Number	:	480-813-2906

Provider Enumeration Date	:	03/31/2009
Last Update Date	:	03/31/2009

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Directions to “GHI THERAPY CENTER ” Practice Location

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