Provider Demographics
NPI:1134138076
Name:THERAPRO PHYSICAL THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:THERAPRO PHYSICAL THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:KARIN
Authorized Official - Last Name:ORSO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:480-855-2884
Mailing Address - Street 1:3230 E BASELINE RD
Mailing Address - Street 2:#101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-7133
Mailing Address - Country:US
Mailing Address - Phone:602-438-9773
Mailing Address - Fax:602-438-9776
Practice Address - Street 1:4920 W BASELINE RD
Practice Address - Street 2:#109
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-7327
Practice Address - Country:US
Practice Address - Phone:602-605-8982
Practice Address - Fax:602-237-8861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty