MEDICARE: TOBLER PHYSICAL THERAPY PC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1891814513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOBLER PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	2835 E BROWN RD
Second Line	:	SUITE 101
City	:	MESA
State	:	AZ
Zip	:	85213-5470
Country	:	US
Telephone Number	:	480-807-6644
Fax Number	:	480-324-1881

Provider Business Practice Location Address
First Line	:	2835 E BROWN RD STE 101
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-5470
Country	:	US
Telephone Number	:	480-807-6644
Fax Number	:	480-324-1881

Authorized Official
Title or Position	:	OWNER
Name	:	STEVE TOBLER
Credential	:
Telephone Number	:	480-807-6644

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	03/31/2009

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