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Contact Information

AVAYA THERAPY OF ARIZONA LLC
18185 N 83RD AVE STE 206
GLENDALE, AZ85308-0519
 Phone: 708-408-2258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AVAYA THERAPY OF ARIZONA LLC · (Female)

NPI Number 1902669807
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2024
Last updated 02/02/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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