National Provider Identifier Database

AVAYA THERAPY OF ARIZONA LLC
Wound Care


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
* Wound Care 163WW0000X
Community Health 363LC1500X
Physical Therapist 225100000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for AVAYA THERAPY OF ARIZONA LLC

NPI Number 1902669807
Legal business name
LBN
AVAYA THERAPY OF ARIZONA LLC
Authorized official ROLANDO ARROJO - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 02/02/2024
Last updated 02/02/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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