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Contact Information

GOLDEN YEARS PHYSICAL THERAPY LLC
11453 E REUBEN AVE
MESA, AZ85212-4113
 Phone: 425-750-9526
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GOLDEN YEARS PHYSICAL THERAPY LLC

NPI Number 1306610100
LBN Legal business name GOLDEN YEARS PHYSICAL THERAPY LLC
Authorized official JENNIFER DERHAM - (PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2023
Last updated 11/13/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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