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MR. ROBERT COREY ADDICOTT P.T.

Sports >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1881697597

Individual Registrant:
MR. ROBERT COREY ADDICOTT P.T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
14520 W GRANITE VALLEY DR SUITE 210 SUN CITY WEST, AZ 85375-5855 US
Tel: 623-537-5600  Fax: 866-939-2673

Contact information for business:
18444 N 25TH AVE SUITE 310 PHOENIX, AZ 85023-1261 US
Tel: 623-537-5600  Fax: 866-939-2673

Registration Information:
NPI: 1881697597
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Sports
AZ5198
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AZ5198

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE69799AZ01
113252AZ05




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